| David B. Kelley, M.d., Inc., P.s. | |
|
408 Lilly Rd Ne Ste C Olympia WA 98506-6954 | |
| (360) 456-5545 | |
| (360) 456-5854 |
| Full Name | David B. Kelley, M.d., Inc., P.s. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 408 Lilly Rd Ne Ste C, Olympia, Washington |
| Authorized Official Name and Position | David B Kelley (PRESIDENT & CEO) |
| Authorized Official Contact | 3604565545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David B. Kelley, M.d., Inc., P.s. 408 Lilly Rd Ne Ste C Olympia WA 98506-6954 Ph: (360) 456-5545 | David B. Kelley, M.d., Inc., P.s. 408 Lilly Rd Ne Ste C Olympia WA 98506-6954 Ph: (360) 456-5545 |
| NPI Number | 1629308564 |
|---|---|
| Provider Enumeration Date | 12/27/2009 |
| Last Update Date | 12/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629308564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD00016317 (Washington) | Primary |
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