Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL THOMAS KELLY, MD
ActiveMedical Microbiology · BLAINE, WA
Registration Details
- NPI Number
- 1225310675
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2011 (14.608570190493 yrs)
- Last Updated
- Sep 12, 2011
- License
-
MD 00039400 (WA)
Practice Information
- Address
-
4156 H STREET RDBLAINE, WA, 982309228Browse WA providers · Browse ZIP 98230
- Phone
- 3603321474
- Primary Specialty
-
Medical Microbiology
207ZM0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.