Individual
DR. KELLY J FAUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2206
(253) 968-1900
Mailing address
18111 89TH AVENUE CT E, PUYALLUP, WA 98375-6238
(253) 847-6366
(253) 968-1900
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
181132-1205
UT
Other
Enumeration date
01/20/2006
Last updated
05/09/2011
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