Individual
TERESA M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
105 W 8TH AVE STE 6020, SPOKANE, WA 99204-2319
(509) 455-5050
(509) 789-6204
Mailing address
105 W 8TH AVE STE 6020, SPOKANE, WA 99204-2319
(509) 455-5050
(509) 789-6204
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP30000509
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9616301
—
WA
Enumeration date
08/05/2006
Last updated
07/08/2007
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