Individual
MS. JOHANNAN ELIZABETH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
250 FORT STREET, POST OFFICE BOX 115, NEAH BAY, WA 98357-0115
(360) 645-2194
(360) 645-2723
Mailing address
PO BOX 115, NEAH BAY, WA 98357-0115
(360) 645-2194
(360) 645-2723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00177063
WA
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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