Individual
KELLY DEWEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
205 LILLY RD NE STE B, OLYMPIA, WA 98506-5070
(360) 489-1558
(360) 688-1066
Mailing address
311 E WAY TO TIPPERARY ST, SHELTON, WA 98584-7526
(360) 350-8351
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
RN60283693
WA
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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