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Contact Information

HOLLY JO KELLY
3333 N WHITMAN ST
TACOMA, WA98407-1547
 Phone: 253-759-3065
 Fax: 253-759-3075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for HOLLY JO KELLY

NPI # 1093992885
LBN Legal business name HOLLY JO KELLY
Authorized official KATHY OSTRANDER - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2008
Last updated 01/24/2008 - About 18 years ago
Identifiers
WA License # RN00114875
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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