Individual
SHANNON KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11702 YELM HWY SE, OLYMPIA, WA 98513-9109
(360) 459-9603
Mailing address
11702 YELM HWY SE, OLYMPIA, WA 98513-9109
(360) 459-9603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00135329
WA
Other
Enumeration date
12/25/2025
Last updated
12/25/2025
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