Female

Dr. Katherine J. Kelly PH.D.

Psychologist in Tacoma, WA(View on Map)

Full Name

Dr. Katherine Jane Kelly PH.D.

NPI Number

1841483286

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/20/2007

Specialties

(Taxonomies)

Code

103T00000X
103TC1900X
103TH0100X

Primary Taxonomy

Yes
No
No

Licenses

State

North Carolina
South Carolina
Washington

License Number

102699
1070
PY60563485

Contact
Information

Purpose

Mailing
Location

Address

14900 INTERURBAN AVE S STE 271
9040 JACKSON AVENUE

City

Tukwila
Tacoma

State

WA
WA

Postal Code

98168-4654
98531

Country

US
US

Telephone Number

(425) 757-2920
(425) 757-2920

Identifiers

Identifier

1070

Identifier State

SC

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/13/2019

Provider Address

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