Individual
KELSEY ELIZABETH PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9631 N NEVADA ST STE 202, SPOKANE, WA 99218
(509) 467-1100
Mailing address
9631 N NEVADA ST, STE 210, SPOKANE, WA 99218-1197
(509) 319-2430
(877) 568-2402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
PA60932420
WA
Other
Enumeration date
11/01/2018
Last updated
09/16/2024
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