Individual
DAVID M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
1900 116TH AVE NE STE 201, BELLEVUE, WA 98004-3013
(425) 451-8831
(425) 450-1598
Mailing address
1900 116TH AVE NE STE 201, BELLEVUE, WA 98004-3013
(425) 451-8831
(425) 450-1598
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
PS00000347
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8405789
—
WA
Enumeration date
08/01/2007
Last updated
08/01/2007
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