Individual
DR. IAN PATRICK KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-4504
(253) 968-2252
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-4504
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30529
NE
207L00000X
Anesthesiology Physician
MD61448867
WA
208D00000X
General Practice Physician
30529
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2258356
—
WA
Enumeration date
02/03/2016
Last updated
05/30/2024
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