Individual
CONSTANCE ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
933 E 1ST ST, PORT ANGELES, WA 98362-4012
(360) 452-7891
(360) 452-8087
Mailing address
240 W FRONT ST, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00000979
WA
Other
Enumeration date
03/07/2022
Last updated
02/16/2023
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