Individual provider · Type 1 NPI
Michael C. Kelly, NP
Nurse Practitioner · Olympia, WA
Practice location
413 Lilly Rd NE
Olympia, WA 98506-5133
Mailing address
PO Box 5007
Lacey, WA 98509-5007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP30006322 (WA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1760425201
Michael C. Kelly, NP's National Provider Identifier is 1760425201, issued on Jun 13, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Olympia, WA. The record was last updated on Jul 6, 2021.