Individual
KELLY A TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. PHD
Contact information
Practice address
1470 N 16TH AVE, SUITE D, YAKIMA, WA 98902-1381
(509) 574-6000
(509) 225-2714
Mailing address
3800 SUMMITVIEW AVE, YAKIMA, WA 98902-2715
(509) 574-6000
(509) 225-2714
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
M10053
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00715305B
—
GA
05
—
807841500
—
ID
Enumeration date
09/22/2005
Last updated
08/19/2015
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