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Individual

KELLIE LYNN PILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3146 FAITH AVE, JOINT BASE LEWIS MCCHORD, WA 98433
(253) 966-0956
Mailing address
6890 E CASCADE DR, PORT ORCHARD, WA 98366-8415
(720) 456-9464

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
115167
IA
2255A2300X
Athletic Trainer
Primary
A161314452
WA

Other

Enumeration date
08/04/2021
Last updated
09/30/2025
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