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Contact Information

MICHAEL T KELLY, MD
4156 H STREET RD
BLAINE, WA98230-9228
 Phone: 360-332-1474
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Microbiology

207ZM0300X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MICHAEL T KELLY · (Male)

NPI # 1225310675
Status Active
Credentials MD
Entity Individual
Enumeration date 09/12/2011
Last updated 09/12/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD 00039400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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