Individual
DR. KELLY SUZANNE HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9040A FITZSIMMONS AVE, TACOMA, WA 98431-0001
(253) 967-3096
(253) 967-3096
Mailing address
PO BOX 33605, FORT LEWIS, WA 98433-0605
(423) 676-8870
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101236924
VA
2084P0800X
Psychiatry Physician
MD0101236924
VA
Other
Enumeration date
02/01/2007
Last updated
03/07/2012
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