Individual
KELLI RANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3475 N SARATOGA ST, OAK HARBOR, WA 98278
(360) 257-9561
Mailing address
3475 N SARATOGA ST, OAK HARBOR, WA 98278-4927
(360) 257-9561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01071612A
IN
Other
Enumeration date
06/16/2011
Last updated
02/04/2019
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