MICHAEL JOHN KELLY (M.D.) – Family Medicine Physician, NPI 1093785586
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHAEL JOHN KELLY (M.D.)
690 Barnes Blvd
Joint Base Lewis McChord, WA 984381303
Phone: (253) 982-7084
Fax: (253) 968-3278
Type: Location
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
TACOMA, WA 984310001
Phone: (253) 982-7084
Fax: (253) 968-3278
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-04-23
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98438)
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