Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael John Kelly, MD

Individual provider Family Medicine Physician · NPI 1093785586

Michael John Kelly, MD is a Family Medicine Physician in Tacoma, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-1303
Phone: (253) 982-7084
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 690 Barnes Blvd, Joint Base Lewis McChord, WA 98438-1303 — (253) 982-7084

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 26546 (WA)

Record details

NPI number1093785586
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESMarch 13, 2019
Mailing address9040 Jackson Ave, Tacoma, WA 98431-0001

Other providers in Tacoma