Individual
SHARON B KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14030 NE 24TH ST, SUITE 202, BELLEVUE, WA 98007
(425) 454-1104
(425) 454-1290
Mailing address
14030 NE 24TH ST, SUITE 202, BELLEVUE, WA 98007
(425) 454-1104
(425) 454-1290
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD00023018
WA
207NP0225X
Pediatric Dermatology Physician
Primary
MD00023018
WA
207NS0135X
Procedural Dermatology Physician
MD00023018
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1068816
—
WA
01
—
4291026
AETNA
WA
05
—
7080237
—
WA
01
—
CN9262
RAILROAD MEDICARE GROUP
WA
01
—
KE2842
REGENCE
WA
Enumeration date
09/11/2006
Last updated
09/11/2025
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