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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: July 19, 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
Phone(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
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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.

KRISTAL CELESTE MELVIN CRNP
Nurse Practitioner (Family)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (804) 519-0462
MR. JOHN RICHARD PORTER PA-C
Physician Assistant
9040 JACKSON AVE, MAMC FAMILY MED DEPT
TACOMA, WA 98431
Pierce County (253) 968-0770
LORRAINE DENISE MASSE FNP
Nurse Practitioner (Family)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-0770
ANN PEPPERS ARNP
Nurse Practitioner (Neonatal)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2252
JOSPEH W GLENN NP-C
Nurse Practitioner (Adult Health)
9040 JACKSON AVE, MADIGAN ARMY MEDICAL CENTER WTB CLINIC
TACOMA, WA 98431
Pierce County (785) 239-7582
EVAN BRAGIN
Registered Nurse (Psychiatric/Mental Health, Adult)
9040 JACKSON AVE, MCHJ-CLQ-C
TACOMA, WA 98431
Pierce County (253) 968-3564
ANDREA LYNN ZUNIGA LMHC
Counselor (Mental Health)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-4545
ALBERT ALLAN DIXON MD
Specialist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1374

Frequently Asked Questions

What is Kelly Kafka's NPI number?

The NPI number assigned to this healthcare provider is 1275748220, enumerated as an "individual" on May 12, 2007.

Where is the provider located?

The provider is located at 9040 JACKSON AVE TACOMA, WA 98431 and the phone number is (253) 968-2252.

What is the provider's specialty?

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.