HOLLY JO KELLY
NPI 1093992885
Registered Nurse - Medical-Surgical in Tacoma, WA

Q: What is Holly Jo Kelly's NPI number?

The NPI number for Holly Jo Kelly is 1093992885. It was assigned to this organization in the NPPES registry on January 24, 2008.

Q: What is Holly Jo Kelly's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.

Q: When was this NPI record last updated?

The NPPES record for Holly Jo Kelly was last updated on January 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 24, 2008

3333 N WHITMAN ST, TACOMA, WA 98407(253) 759-3065(253) 759-3075 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Holly Jo Kelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY JO KELLY (NPI 1093992885) is a healthcare organization registered as a medical-surgical in Tacoma, Washington and active in the NPI registry since January 2008. The organization lists Kathy Ann Ostrander, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093992885

Entity TypeOrganization

Primary Taxonomy163WM0705X

Legal Business NameHOLLY JO KELLY

Location Address3333 N WHITMAN STTacoma, WA 98407-1547

Mailing Address3333 N Whitman StTacoma, WA 98407-1547 · (253) 759-3065 · Fax (253) 759-3075

Phone(253) 759-3065

Fax(253) 759-3075

Organization SubpartNo

Authorized OfficialKathy Ann OstranderOffice Manager · (253) 759-3065

Enumeration DateJanuary 24, 2008

✔ NPI 1093992885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers

Taxonomy Code163WM0705X

License✔ Licensed in WA · RN00114875

3333 N WHITMAN ST, Tacoma, WA 98407

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP