Individual provider · Type 1 NPI

Diane M. Kelly, LMP

Specialist · Vancouver, WA

NPI number 1083672406 Active

Practice location

7902 NE St Johns Rd
Vancouver, WA 98665-1094

Call (360) 573-6424 Map

Mailing address

9105 NE 25th Ave
Vancouver, WA 98665-9057

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA0005268 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083672406

Diane M. Kelly, LMP's National Provider Identifier is 1083672406, issued on May 3, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 13, 2026.