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Individual

KELLY P GRENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP-FNP

Contact information

Practice address
10025 NE 186TH ST, BOTHELL, WA 98011-3839
(425) 486-9131
(425) 486-9490
Mailing address
22850 NE 8TH ST STE 103, SAMMAMISH, WA 98074-7256
(425) 898-0305
(425) 898-8825

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61085959
WA

Other

Enumeration date
07/14/2020
Last updated
04/20/2021
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