Individual
DR. KELLY W BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, ARNP
Contact information
Practice address
1600 E OLIVE ST, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210
Mailing address
1600 E OLIVE ST, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30007542
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007542
WA
Other
Enumeration date
11/01/2006
Last updated
06/25/2013
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