KELLY CASEY

PROVIDENCE HEALTH AND SERVICES - WASHINGTON

Dr KELLY CASEY is a male medical professional, specializing in General Surgery. He graduated in 2010.

Contact

PROVIDENCE HEALTH AND SERVICES - WASHINGTON

380 CHASE AVE
WALLA WALLA
WA
993622924

Tel: 5098973333

KELLY CASEY Information

Npi 1184935025
Pac Id 4688988744
Professional Enrollment Id I20150803001200
Last Name CASEY
First Name KELLY
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES - WASHINGTON
Group Practice Pac Id 2860552973
Number Of Group Practice Members 146
Line 1 Street Address 380 CHASE AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WALLA WALLA
State WA
Zip Code 993622924
Phone Number 5098973333
Hospital Affiliation Ccn 1 500002
Hospital Affiliation Lbn 1 PROVIDENCE ST MARY MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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