Individual
SHAYNE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Mailing address
76102 E CANYON MEADOW DR, KENNEWICK, WA 99338-5016
(509) 302-9733
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02007338A
WA
Other
Enumeration date
04/10/2017
Last updated
01/07/2026
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