Individual
KELSEY REGAN PLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4011 TALBOT RD S, SUITE 300, RENTON, WA 98055-5773
(425) 656-5060
(425) 656-5047
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60188629
WA
363LF0000X
Family Nurse Practitioner
AP60188629
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8951681
MEDICARE PTAN
WA
Enumeration date
09/23/2010
Last updated
05/04/2016
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