KELLY ELLEN KAFKA M.D.
NPI 1275748220
Surgery - Plastic and Reconstructive Surgery in Tacoma, WA

Active since May 12, 2007
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2252 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2019, Sep 14, 2016 (2 updates tracked since 2016).

About Kelly Ellen Kafka M.d. NPPES

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

KELLY ELLEN KAFKA M.D. (NPI 1275748220) is an individual plastic and reconstructive surgery provider in Tacoma, Washington, licensed in Missouri (2007011381) and active in the NPI registry since May 2007. She maintains a secondary practice location in Ft. Sam Houston.

NPPES Registry Identity

NPI1275748220
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameKELLY ELLEN KAFKACredential: M.D.
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-2252
Sole ProprietorNo
Enumeration DateMay 12, 2007
Last NPPES UpdateJune 21, 20222 updates tracked since enumeration
NPPES CertifiedJune 20, 2022
NPI 1275748220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in MO · 2007011381
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgeryTaxonomy 208600000X · License 75893 (GA), 2007011381 (MO)
9040 JACKSON AVE, Tacoma, WA 98431

Other Names 1

Former Name (1)Kelly Ellen Lesperance M.d.

Secondary Practice Location 1

Location 1Brooke Army Medical Center, 3551 Roger Brooke DriveFt. Sam Houston, TX 78234 · Phone (210) 916-3216

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.

Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431

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 Kelly Kafka's NPI number?

The NPI number for Kelly Kafka is 1275748220. It was assigned to this individual provider in the NPPES registry on May 12, 2007. The provider is also known as Kelly Ellen Lesperance M.D..

Where is Kelly Kafka located?

Kelly Kafka practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-2252.

What is Kelly Kafka's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Kelly Kafka was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.