Individual
JAMES L KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2202 S CEDAR ST, STE. 340, TACOMA, WA 98405-2318
(253) 503-2559
(253) 503-8513
Mailing address
2420 S UNION AVE, STE 200, TACOMA, WA 98405-1322
(253) 272-8148
(253) 404-0506
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
34168
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00028164
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8250110
—
WA
01
—
MD00028164
WA LICENSE
WA
Enumeration date
02/10/2006
Last updated
04/04/2014
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