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Individual

DR. KELLY E WURZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
624 E. FRONT AVE, SPOKANE, WA 99204
(509) 626-9900
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 626-9900

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60579776
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/11/2012
Last updated
08/23/2016
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