Search › Washington › 363AM0700X
Stephen Kelly, PA-C
NPI 1235781584 · on the registry since 2019
Practice
- Address
- 9040 Jackson Ave
Tacoma, WA 98431 - Phone
- (609) 774-4071
- Organisation at this address
- Amc Madigan-Ft Lewis
Kroll Anesthesia Services
Defense Finance & Actg ServInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,223
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 390200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington