Individual
KELLY K WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7000
(360) 417-7342
Mailing address
2308 S CHERRY ST, PORT ANGELES, WA 98362-2420
(360) 457-5966
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00166416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7407786
—
WA
01
—
OL0687
RBS RIDER
—
Enumeration date
11/20/2006
Last updated
07/09/2007
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