Individual
KELLI ANN BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 BEACH DR E, PORT ORCHARD, WA 98366-4937
(206) 745-3808
Mailing address
PO BOX 46, KEYPORT, WA 98345-0046
(206) 745-3808
(206) 745-3811
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
60172005
WA
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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