Individual
ERIC W KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2722 COLBY AVE STE 401, EVERETT, WA 98201-3532
(425) 349-8681
Mailing address
2722 COLBY AVE STE 401, EVERETT, WA 98201-3532
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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