Michael Joseph Kelly in Tacoma - Internal Medicine

Michael Joseph Kelly - NPI 1649343278

Michael Joseph Kelly is a Internal Medicine in Tacoma, Washington. Michael Joseph Kelly practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Michael Joseph Kelly is 1649343278. The last update date is 2020-12-04.

Michael Joseph Kelly's current location address is 1708 Yakima Ave Ste 300, Tacoma, Washington. You can contact this provider via phone number 2533638700 and fax number 3607823115. The mailing address for Michael Joseph Kelly is 1708 Yakima Ave Ste 300, Tacoma, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Joseph Kelly
Address 1708 Yakima Ave Ste 300, Tacoma, Washington
Phone Number 2533638700
Fax Number 3607823115
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1649343278
Provider Enumeration Date 2006-11-15
Last Updated Date 2020-12-04

Provider Mailing Address Detail

Address 1708 Yakima Ave Ste 300
City Tacoma
State Washington (WA)
Post Code 984055309
Phone Number 2533638700
Fax Number 3607823115

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD00033879
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
280978 WA L&I
1045078 WA --
8193823 WA --
G8901118 WA MEDICARE
125746 WA STATE L&I

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FAQs about Michael Joseph Kelly

What is the unique identifier code issued to Michael Joseph Kelly by the Centers for Medicare & Medicaid Services (CMS)?

The Michael Joseph Kelly has been assigned the NPI (National Provider Identifier) 1649343278. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Michael Joseph Kelly is located?

The Michael Joseph Kelly is situated at the following address: 1708 Yakima Ave Ste 300, Tacoma, WA, 984055309.

What is the Michael Joseph Kelly's specialty and taxonomy code?

The Michael Joseph Kelly's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date was the 1649343278 assigned to Michael Joseph Kelly?

The Michael Joseph Kelly was issued its 1649343278 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Michael Joseph Kelly most recently updated or refreshed?

The details pertaining to the Michael Joseph Kelly, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-12-04.

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