Individual
RANDALL GRANT KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
NAVAL HOSPITAL, ONE BOONE ROAD, BREMERTON, WA 98312-1898
(360) 475-4426
(360) 475-4344
Mailing address
NAVAL HOSPITAL, ONE BOONE ROAD, BREMERTON, WA 98312-1898
(360) 475-4426
(360) 475-4344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
003754
OH
Other
Enumeration date
08/15/2006
Last updated
04/18/2013
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