| Dr Mary M Kelly, MD | |
|
19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 | |
| (425) 563-1500 | |
| (425) 563-1374 |
| Full Name | Dr Mary M Kelly |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 19020 33rd Ave W, Lynnwood, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205814191 | NPI | - | NPPES |
| 120932 | Other | WA | L&I PROVIDER NUMBER |
| 117364 | Other | WA | L&I PROVIDER NUMBER |
| 1042266 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD00019233 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary M Kelly, MD 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 Ph: (425) 563-1500 | Dr Mary M Kelly, MD 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 Ph: (425) 563-1500 |
Dr. Patrick T. Hurley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Michael Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Brian James Mccallie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Frederick Farzad Kash, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Germaine Richard Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Judson E Threlkeld, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Melissa A. Hayes Balmadrid, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 |