Individual
TRACY T KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-4538
Mailing address
PO BOX 5299, TACOMA, WA 98415-0299
(253) 403-4538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00045647
WA
Other
Enumeration date
09/13/2006
Last updated
09/10/2010
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