Individual
JONNA M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2930 SQUALICUM PKWY, 101, BELLINGHAM, WA 98225-1854
(360) 988-9008
(360) 594-4012
Mailing address
21718 STERLING DR, SEDRO WOOLLEY, WA 98284-8761
(360) 707-1164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
AMD-431
HI
363A00000X
Physician Assistant
Primary
PA10004532
WA
Other
Enumeration date
09/25/2006
Last updated
05/11/2017
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