Individual
TAMMY ROSE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4465 CORDATA PKWY STE 102, BELLINGHAM, WA 98226-8037
(360) 752-5280
(360) 752-5282
Mailing address
1155 MILL ST # MSM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-3900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
9040
NV
207V00000X
Obstetrics & Gynecology Physician
Primary
MD61508204
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020-18783
—
NV
Enumeration date
07/19/2005
Last updated
02/21/2024
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