Dr. Kelly Ryan Gillespie, M.D.
Family Medicine in East Wenatchee, WA. Individual provider (NPI-1).
NPI number1427109974
StatusActive
Last updated in NPPESJun 21, 2022
Details
- NPI
- 1427109974
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelly Ryan Gillespie
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2007
- Certification date
- Jun 21, 2022
- Last updated
- Jun 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD00045213 | WA | Yes |
Practice location
100 Highline DrEast Wenatchee, WA 98802-5341
Phone 509-884-0614
Mailing address
820 N Chelan AveWenatchee, WA 98801-2028
Phone 509-663-8711
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