Individual
KELLY ELLEN KAFKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2007011381
MO
208600000X
Surgery Physician
75893
GA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2007011381
MO
Other
Enumeration date
05/12/2007
Last updated
06/21/2022
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