Organization
HOLLY JO KELLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY ANN OSTRANDER (OFFICE MANAGER)
(253) 759-3065
Entity
Organization
Contact information
Practice address
3333 N WHITMAN ST, TACOMA, WA 98407-1547
(253) 759-3065
(253) 759-3075
Mailing address
3333 N WHITMAN ST, TACOMA, WA 98407-1547
(253) 759-3065
(253) 759-3075
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN00114875
WA
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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