Individual
KELSEY M CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1270 LEE BLVD, RICHLAND, WA 99352-4231
(509) 942-3180
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP6113074
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61113074
WA
Other
Enumeration date
10/10/2020
Last updated
11/11/2021
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