Organization
K&S
Active
Other names
Walnut Grove Medical
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARTENE BELL NP (PARTNER)
(360) 718-2515
Entity
Organization
Contact information
Practice address
300 W 39TH ST, VANCOUVER, WA 98660-1960
(360) 718-2515
(360) 993-1800
Mailing address
300 W 39TH ST, VANCOUVER, WA 98660-1960
(360) 718-2515
(360) 993-1800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005937
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP30006359
WA
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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