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Michael C Kelly, NP
Nurse Practitioner in Olympia, Washington
NPI 1760425201

Michael C Kelly is a Nurse Practitioner based in Lacey, WA. Michael C Kelly practices in Olympia, WA and has the professional credentials of NP. The NPI Number for Michael C Kelly is 1760425201 and holds a License No. AP30006322 (Washington).

The current practice location address for Michael C Kelly is 413 Lilly Rd Ne, Olympia, WA and can be reached out via phone at 360-491-9480.

Location: 413 Lilly Rd Ne, Olympia, WA, 98509-5007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760425201
Provider Name
Michael C Kelly
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
413 Lilly Rd Ne, Olympia, WA, 98509-5007
Phone Number
360-491-9480
Fax Number
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8906877 01 WA CRIME VICTIMS
6059KE 01 REGENCE BS
199382 01 WA L & I
9635574 05 WA
institution
Provider Business Practice Location Address Details
Address
413 Lilly Rd Ne
City
Olympia
State
Washington
Zip
98506-5133
Phone Number
360-491-9480
Fax Number
person
Provider Business Mailing Address Details
Address
413 Lilly Rd Ne
City
Olympia
State
Washington
Zip
98506-5133
Phone Number
360-491-9480
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP30006322 (Washington)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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