Individual
LINDA SUE KELLAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2114 CATON WAY SW # 201, OLYMPIA, WA 98502-1105
(360) 709-3332
(360) 709-3336
Mailing address
2114 CATON WAY SW # 201, OLYMPIA, WA 98502-1105
(360) 709-3332
(360) 709-3336
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30004049
WA
Other
Enumeration date
01/22/2007
Last updated
05/12/2010
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