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Individual

KELLEY ANN GILLROY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
165 LILLY RD NE STE A, OLYMPIA, WA 98506-5086
(360) 438-9092
(604) 383-9063
Mailing address
165 LILLY RD NE STE A, OLYMPIA, WA 98506-5086
(360) 438-9092
(360) 438-3906

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0677
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428205
AZ
Enumeration date
04/23/2007
Last updated
02/26/2021
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