# MS. KELLY C CHANDLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1942714571
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN60291128 | WA | — |
| 363L00000X | Nurse Practitioner | AP61004254 | WA | Yes |
| 363LF0000X | Family Nurse Practitioner | AP61004254 | WA | — |

## Other

- **Enumeration date:** 11/17/2017
- **Last updated:** 10/07/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1720371669 | GROUP PRACTICE NPI | IL |
| 05 | — | 1942714571 | — | WA |
| 01 | — | DS2377 | RRMC GROUP PTAN | IL |