Individual
DR. KELLY A. MCGINNIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17700 SE 272ND ST, STE 175, COVINGTON, WA 98042-4951
(253) 372-7200
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00025660
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8126682
—
WA
Enumeration date
06/10/2005
Last updated
07/08/2007
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