Individual
KAL KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
358 N. MAIN STREET, COLVILLE, WA 99114-7005
(509) 684-1440
(509) 684-2745
Mailing address
PO BOX 808, CHEWELAH, WA 99109
(509) 935-6001
(509) 935-4196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD150135
OR
207Q00000X
Family Medicine Physician
Primary
MD60027802
WA
Other
Enumeration date
05/22/2008
Last updated
03/17/2018
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