Dr Michael Thomas Kelly, MD is a
Pathology - Medical Microbiology physician based in Blaine, Washington. Dr Michael Thomas Kelly is licensed to practice in Washington (license number MD 00039400) and his current practice location is 4156 H Street Rd, Blaine, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 332-1474.
NPI number for Dr Michael Thomas Kelly is 1225310675 and his current mailing address is 4156 H Street Rd, Blaine, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225310675.
Physician's Profile
Full Name | Dr Michael Thomas Kelly |
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Gender | Male |
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Speciality | Pathology - Medical Microbiology |
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Location | 4156 H Street Rd, Blaine, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225310675
- Provider Enumeration Date: 09/12/2011
- Last Update Date: 09/12/2011
Medical Identifiers
Medical identifiers for Dr Michael Thomas Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225310675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZM0300X | Pathology - Medical Microbiology | MD 00039400 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Thomas Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Michael Thomas Kelly, MD 4156 H Street Rd, Blaine, WA 98230-9228 Ph: (360) 332-1474 | Dr Michael Thomas Kelly, MD 4156 H Street Rd, Blaine, WA 98230-9228 Ph: (360) 332-1474 |
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