Individual
KELLY RAE BARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
607B TYLER ST, PORT TOWNSEND, WA 98368-6536
(360) 385-0393
Mailing address
607B TYLER ST, PORT TOWNSEND, WA 98368-6536
(360) 385-0393
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00007427
WA
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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