Individual
KELLY L WHITEHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5480
Mailing address
3901 HOYT AVE, EVERETT, WA 98201-4918
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
RN00139765
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00139765
LICENSE
—
Enumeration date
11/13/2006
Last updated
07/08/2007
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