Individual
KELLY S HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 7TH ST, HOQUIAM, WA 98550-2506
(360) 532-5454
(360) 533-0999
Mailing address
201 7TH ST, HOQUIAM, WA 98550-2506
(360) 532-5454
(360) 533-0999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00095866
WA
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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