IndividualActive
Michael Kelly, MD
NPI 1225310675 · Medical Microbiology Physician · Blaine, WA
Provider details
- NPI number
- 1225310675
- Entity type
- Individual
- Primary specialty
- Medical Microbiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD 00039400 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4156 H Street Rd
Blaine, WA 98230-9228
Phone: (360) 332-1474
Approximate (ZIP-level) locationGet directions
Mailing address
4156 H Street Rd
Blaine, WA 98230-9228
Registry dates
- Enumerated
- 2011-09-12
- Last updated
- 2011-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.