Individual
KELSEY MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1208 LINCOLN PL NE, RENTON, WA 98056-2854
(425) 765-4045
Mailing address
1208 LINCOLN PL NE, RENTON, WA 98056-2854
(425) 765-4045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60359805
WA
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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