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

Miss. Kelly Jean Hall, DPM

Individual provider Podiatrist · NPI 1205932191

Miss. Kelly Jean Hall, DPM is a Podiatry in Bothell, Washington. Graduated from California School of Podiatric Medicine in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
30
Trained at
California School of Podiatric Medicine
Licensed in
WA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

12900 NE 180th St Ste 150
Bothell, WA 98011-5778
Phone: (206) 365-5484
Fax: (206) 365-5714
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence PO00000617 (WA)

Record details

NPI number1205932191
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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