Individual
KELSEY GOULETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3345 39TH ST S STE 1, FARGO, ND 58104-7539
(509) 222-1275
(509) 491-3031
Mailing address
500 SW 7TH ST STE A205, RENTON, WA 98057-2983
(877) 522-1275
(338) 887-1458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6761
MA
Other
Enumeration date
10/09/2018
Last updated
03/06/2025
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