Individual provider · Type 1 NPI

Abigail Kelly, MD

Military Health Care Provider · Tacoma, WA

NPI number 1639825664 Active

Practice location

9040 Jackson Ave
Tacoma, WA 98431-0001

Call (253) 968-3105 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1639825664

Abigail Kelly, MD's National Provider Identifier is 1639825664, issued on Feb 28, 2022. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Tacoma, WA. The record was last updated on Aug 3, 2023.