Individual
DR. PETER MITCHELL KALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, MS:X10-ON, SEATTLE, WA 98101-2756
(206) 341-0895
(206) 223-6921
Mailing address
1100 9TH AVE, MS:X10-ON, SEATTLE, WA 98101-2756
(206) 341-0895
(206) 223-6921
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
MD61263154
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13-3971298
—
NY
Enumeration date
04/26/2016
Last updated
09/30/2022
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