Individual
DR. KELLY ELIZABETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4401 CALIFORNIA AVE SW, SEATTLE, WA 98116-4108
(206) 935-5210
Mailing address
4401 CALIFORNIA AVE SW, SEATTLE, WA 98116-4108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60861761
WA
Other
Enumeration date
07/05/2018
Last updated
08/26/2022
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