Individual
KELLY JEAN ROSE O'BRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 N DIVISION ST STE 202, AUBURN, WA 98001-4939
(253) 876-8088
Mailing address
349 NW 50TH ST, SEATTLE, WA 98107-3522
(206) 295-2652
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60856997
WA
Other
Enumeration date
06/13/2018
Last updated
11/20/2020
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