GLEN E KELLEY
NPI 1205063187
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since June 17, 2009
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 403-1000 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glen E Kelley NPPES

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

GLEN E KELLEY (NPI 1205063187) is an individual addiction (substance use disorder) provider in Tacoma, Washington and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1205063187
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameGLEN E KELLEY
Location Address315 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4234
Mailing AddressPo Box 5299Tacoma, WA 98415-0299
Sole ProprietorNo
Enumeration DateJune 17, 2009
NPI 1205063187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
315 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Physician Assistant (Surgical)
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
General Practice
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pharmacist (Pharmacotherapy)
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Emergency Medicine
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Family Medicine
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Nurse Practitioner
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Speech-Language Pathologist
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Kelley's NPI number?

The NPI number for Glen Kelley is 1205063187. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Glen Kelley located?

Glen Kelley practices at 315 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (253) 403-1000.

What is Glen Kelley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Glen Kelley was last updated on June 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.