Individual
MR. ALAN J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 N MCDONALD RD, STE 101, SPOKANE VALLEY, WA 99216-1557
(509) 924-1950
(509) 921-0017
Mailing address
1215 N MCDONALD RD, STE 101, SPOKANE VALLEY, WA 99216-1557
(509) 924-1950
(509) 921-0017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BC60304772
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151073
—
OR
Enumeration date
10/10/2005
Last updated
03/02/2017
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