Individual
SAMANTHA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1536 N 115TH ST STE 130, SEATTLE, WA 98133-8416
(206) 598-3344
(206) 598-1250
Mailing address
1536 N 115TH ST STE 130, SEATTLE, WA 98133-8416
(206) 598-3344
(206) 598-1250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60284200
WA
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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