Individual
KELLY HIGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, PMHNP-BC
Contact information
Practice address
1336 S 336TH ST, FEDERAL WAY, WA 98003-6348
(253) 833-7444
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
291966
NC
163WE0003X
Emergency Registered Nurse
RN61076162
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61180694
WA
Other
Enumeration date
04/16/2020
Last updated
11/01/2022
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