Individual
KELLY DAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT(ASCP)
Contact information
Practice address
525 132ND ST SW APT S302, EVERETT, WA 98204-9376
(940) 765-9415
Mailing address
525 132ND ST SW APT S302, EVERETT, WA 98204-9376
(940) 765-9415
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
—
—
246QM0706X
Medical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DAUSCHKT326N3
DRIVERS LICENSE
WA
Enumeration date
12/05/2016
Last updated
12/05/2016
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