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Individual

KELLY MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
615 SNOW AVE, RICHLAND, WA 99352-3851
(509) 578-9510
Mailing address
1628 VENICE LN, RICHLAND, WA 99352-7316

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00142226
WA

Other

Enumeration date
09/13/2017
Last updated
09/13/2017
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