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Organization
SHELLEY KELLY PSYCHIATRIC SERVICES LLC
Active
Organization
SHELLEY KELLY PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY JETTE-KELLY (OWNER)
(253) 234-4566
Entity
Organization
Contact information
Practice address
4113 BRIDGEPORT WAY W STE C2, UNIVERSITY PLACE, WA 98466-4325
(253) 234-4566
(253) 276-6700
Mailing address
4113 BRIDGEPORT WAY W STE C2, UNIVERSITY PLACE, WA 98466-4325
(253) 234-4566
(253) 276-6700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
07/31/2026
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