| Doctor Name: | KELLY MAUREEN NOYES |
| NPI Number: | 1558620013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 006286 |
| Business Practice Address: | 700 E Manitoba Ave Suite 101 Ellensburg, WA - 989263885 |
| Business Phone Number: | 5099256100 |
| Business Fax Number: | |
| Mailing Address: | 700 E Manitoba Ave, Suite 101 ELLENSBURG |
| State: | WA |
| Postal Code: | 989263885 |
| Phone Number: | 5099256100 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2012 |
| NPI Last Update Date: | 07/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 006286 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |