Individual
MR. RICHARD PAUL KELLAR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP60553535
Contact information
Practice address
16022 116TH AVE SE, RENTON, WA 98058
(425) 204-3351
Mailing address
16022 116TH AVE SE, RENTON, WA 98058
(425) 204-3351
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60553535
WA
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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