Psychiatry & Neurology, Psychiatry
Dr. KELLY EBRAHIMI DO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1700412319 · enumerated 2020-03-14 · record updated 2024-08-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: KELLY BLAKE
Addresses and phones
- Practice location 9040 JACKSON AVE, TACOMA, WA, 98431-5001 (253) 968-2252 Google Maps Apple Maps OpenStreetMap
- Mailing address 1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI, 96859-5001 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Psychiatry 2084P0800X · License DOS-2292 HI
- General Practice 208D00000X · License DOS-2292 HI
- Student in an Organized Health Care Education/Training Program 390200000X
- Psychiatry & Neurology, Psychiatry 2084P0800X · Primary · License OP61575651 WA
Locations and evidence
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Practice location
TACOMA, WA, 984315001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.