Provider Demographics
NPI:1497865398
Name:MCKELVEY, JOHN J III (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:MCKELVEY
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:3602 OLYMPIC BLVD W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-1410
Mailing Address - Country:US
Mailing Address - Phone:253-564-0324
Mailing Address - Fax:253-589-4028
Practice Address - Street 1:9600 VETERANS DR SW
Practice Address - Street 2:A-111-CARD
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-5000
Practice Address - Country:US
Practice Address - Phone:253-582-8440
Practice Address - Fax:253-589-4028
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
WAMD00016214207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease