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DR. MARY M. KELLY M.D.
NPI 1205814191
Radiology - Diagnostic Radiology in Lynnwood, WA

Active since January 03, 2006
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036(425) 563-1500(425) 563-1374 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary M. Kelly M.d. NPPES

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

DR. MARY M. KELLY M.D. (NPI 1205814191) is an individual diagnostic radiology provider in Lynnwood, Washington, licensed in Washington (MD00019233) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1205814191
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MARY M. KELLYCredential: M.D.
Location Address19020 33RD AVE W, SUITE 210Lynnwood, WA 98036-4746
Mailing Address19020 33rd Ave W, Suite 210Lynnwood, WA 98036-4746 · (425) 563-1500 · Fax (425) 563-1374
Phone(425) 563-1500
Fax(425) 563-1374
Sole ProprietorNo
Enumeration DateJanuary 3, 2006
Last NPPES UpdateFebruary 5, 2015
✔ NPI 1205814191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WA · MD00019233
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
19020 33RD AVE W, Lynnwood, WA 98036
Open in Google Maps ↗

Other Identifiers 9

Medicare UPINF12325WA
Medicare PIN300083028WA
Medicare PING8889984WA
Other117364WA · L&i Provider Number
Medicare PINGAB02914WA
Medicare PINGAB03741WA
Other120932WA · L&i Provider Number
Medicaid1042266WA
Medicare PING8889248WA

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.

DR. PATRICK T. HURLEY M.D.
Radiology (Diagnostic Radiology)
19020 33RD AVE W, SUITE 210
LYNNWOOD, WA 98036
Snohomish County (425) 563-1500
DR. MICHAEL SCOT FISHMAN M.D.
Radiology (Diagnostic Radiology)
19020 33RD AVE W, SUITE 210
LYNNWOOD, WA 98036
Snohomish County (425) 563-1500
DR. JOHN CLEMETT M.D.
Radiology (Diagnostic Radiology)
19020 33RD AVE W, SUITE 210
LYNNWOOD, WA 98036
Snohomish County (425) 563-1500
NORMAN P GOODWIN DDS PS
Dentist
19020 33RD AVE W, SUITE 200
LYNNWOOD, WA 98036
Snohomish County (425) 771-2022
DR. MELISSA A. HAYES BALMADRID M.D.
Radiology (Diagnostic Radiology)
19020 33RD AVE W, SUITE 210
LYNNWOOD, WA 98036
Snohomish County (425) 563-1500
DR. STEVEN D. SPERLING M.D.
Radiology (Diagnostic Radiology)
19020 33RD AVE W, SUITE 210
LYNNWOOD, WA 98036
Snohomish County (425) 563-1500
DR. PHILIP J. VOGELZANG MD
Radiology (Vascular & Interventional Radiology)
19020 33RD AVE W, SUITE 210
LYNNWOOD, WA 98036
Snohomish County (425) 563-1500
DR. MARC G. KOENIG SR. MD
Radiology (Diagnostic Radiology)
19020 33RD AVE W, SUITE 210
LYNNWOOD, WA 98036
Snohomish County (425) 563-1500

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 Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1205814191. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Mary Kelly located?

Mary Kelly practices at 19020 33rd Ave W Suite 210, Lynnwood, WA 98036. The listed phone number is (425) 563-1500.

What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.