Individual
DOYLE W KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3753
(360) 696-4061
Mailing address
PO BOX 547, 377 NE DORNING ST., YACHATS, OR 97498-0547
(541) 547-3933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00412
OR
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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