ABIGAIL KELLY MD
NPI 1639825664
Military Health Care Provider in Tacoma, WA

Q: What is the provider's specialty?

The provider's specialty is Military Health Care Provider with taxonomy code 171000000X.

Active since February 28, 2022

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-3105 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Abigail Kelly Md NPPES

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

ABIGAIL KELLY MD (NPI 1639825664) is an individual military health care provider provider in Tacoma, Washington and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1639825664

Entity TypeIndividualFemale

Primary Taxonomy171000000X

Provider Legal NameABIGAIL KELLYCredential: MD

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-3105

Phone(253) 968-3105

Sole ProprietorNo

Enumeration DateFebruary 28, 2022

Last NPPES UpdateAugust 3, 2023

NPPES CertifiedAugust 3, 2023

✔ NPI 1639825664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9040 JACKSON AVE, Tacoma, WA 98431

Open in Google Maps ↗