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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JONATHON LUTHER KELLY, IDC

Active

MR. JONATHON LUTHER KELLY, IDC is a Independent Duty Corpsman healthcare provider located in BREMERTON, Washington. NPI 1609049774 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · BREMERTON, WA

Registration Details

NPI Number
1609049774
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2008 (18.317632163899 yrs)
Last Updated
Apr 9, 2008

Practice Information

Address
1 BOONE RD
NAVAL HOSPITAL BREMERTON
BREMERTON, WA, 983121894
Browse WA providers · Browse ZIP 98312
Phone
3604754841
Fax
3604754935
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in BREMERTON, WA

Name Credential NPI
STEPHEN KEITH HUBBARD IDC 1447227400
MR. ANTHONY LEE EPPS IDC 1285699181
MR. GEORGES CUSTODIO TAINO IDC 1366499253
MR. ALAN D GARRIGUS 1669429213
MR. GUILLERMO VENEGAS 1699716258
SHANE RAY REECE IDC 1295762862
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.