Individual
KELLY S BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2202 SOUTH CEDAR ST #300/#200, TACOMA, WA 98405
(253) 301-5280
(253) 627-4608
Mailing address
PO BOX 5299, MS: 737-3-PCON, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60537891
WA
Other
Enumeration date
04/09/2008
Last updated
03/16/2021
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