Miss Kelly Jean Hall

DPM | Podiatrist | 29+ years Exp



Medicare Enrolled
 12900 Ne 180th St Ste 150, Bothell
    Washington, 98011-5778

 206-365-5484    206-365-5714   Maps & Directions
Miss Kelly Jean Hall is a Bothell, Washington based podiatrist with 29 years of experience in Podiatry. She completed her graduation from California School Of Podiatric Medicine in 1996. She is also affiliated with hospitals like Evergreenhealth Medical Center. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Miss Kelly Jean Hall for Podiatry is PO00000617 in Washington.
Miss Kelly Jean Hall is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Miss Kelly Jean Hall speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Podiatry
Credentials: DPM
Experience: 29+ years
Medical School Attended:California School Of Podiatric Medicine
Graduation Year:1996
Gender:Female
Accepts Medicare Assignment:Yes
Practice Address:12900 Ne 180th St Ste 150, Bothell,
Washington, 98011-5778
Phone:206-365-5484
Fax:206-365-5714
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 9436275518
Enrollment ID: I20100927000271
NPI Number: 1205932191
NPI Enumeration Date: 16 Sep, 2006
NPI Last Update On: 07 Aug, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Kelly Jean Hall are as mentioned below.
License NumberSpecializationStateStatus
PO00000617Podiatry WashingtonPrimary
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Evergreenhealth Medical Center (500124)Kirkland, WAAcute Care Hospital
Other Medical Identifiers:
Other legacy medical identifiers associated with Miss Kelly Jean Hall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1106699MedicaidWashington
5815682OtherWashingtonAETNA
HA0967OtherWashingtonREGENCE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 12900 Ne 180th St Ste 150,
Bothell, Washington
Zip: 98011-5778
Phone Number: 206-365-5484
Fax Number: 206-365-5714
Patients can reach Miss Kelly Jean Hall at 12900 Ne 180th St Ste 150, Bothell, Washington or can call to book an appointment on 206-365-5484.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.