Individual
KELLY FELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-7581
Mailing address
1211 24TH ST, ANACORTES, WA 98221-2562
(360) 293-3101
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60931695
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2015
Last updated
04/22/2019
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