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Stephen Kelly, PA-C
Medical Physician Assistant in Tacoma, Washington
NPI 1235781584

Stephen Kelly is a Medical Physician Assistant based in Olympia, WA and is specialized in Medical. Stephen Kelly practices in Tacoma, WA and has the professional credentials of PA-C. The NPI Number for Stephen Kelly is 1235781584 and holds a License No. (Washington).

The current practice location address for Stephen Kelly is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 609-774-4071.

Location: 9040 Jackson Ave, Tacoma, WA, 98516-5953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235781584
Provider Name
Stephen Kelly
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Tacoma, WA, 98516-5953
Phone Number
609-774-4071
Fax Number
Provider Enumeration Date
07/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-5086
Phone Number
609-774-4071
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-5086
Phone Number
609-774-4071
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
61188032 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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