Individual
KELLAN BECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 NE 95TH ST, SEATTLE, WA 98115-2426
(206) 525-5050
Mailing address
2904 E CHERRY ST APT B, SEATTLE, WA 98122-5067
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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