Kelley, James L
Kelley, James L is an individual health care provider with primary practice located at 2202 S Cedar St Ste. 340, Tacoma WA 98405-2318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Kelley, James L can be contacted via phone (253) 503-2559.Contact Information
Primary practice address
2202 S Cedar St Ste. 340
Tacoma WA 98405-2318
Phone: (253) 503-2559
Fax: (253) 503-8513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD00028164 | Washington |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 34168 | Arizona |
Profile Details
| NPI number | 1609849371 |
|---|---|
| LBN Legal business name | Kelley, James L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Apr 4th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609849371 | NPPES |
| Washington | Other | MD00028164 | WA LICENSE |
| Washington | MEDICAID | 8250110 | WA LICENSE |
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