Individual
KEYA CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
450 NW GILMAN BLVD, SUITE 201, ISSAQUAH, WA 98027-2483
(425) 391-0705
(425) 391-9562
Mailing address
450 NW GILMAN BLVD, SUITE 201, ISSAQUAH, WA 98027-2483
(425) 391-0705
(425) 391-9562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60122496
WA
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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