Individual
MR. DANIEL JOSEPH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 E 7TH ST, THE DALLES, OR 97058-2607
(541) 298-5144
(541) 298-5224
Mailing address
405 E 7TH ST, THE DALLES, OR 97058-2607
(541) 298-5144
(541) 298-5224
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD00022665
WA
207W00000X
Ophthalmology Physician
Primary
MD12291
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1257104
WASH WELF
WA
05
—
267104
—
OR
Enumeration date
04/19/2006
Last updated
03/07/2023
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