Individual
RANDOLPH WEBSTER KERLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
4311 11TH AVE NE STE 200, SEATTLE, WA 98105-6367
(206) 616-4001
(206) 616-3889
Mailing address
5936 BELTWAY LOOP SE, LACEY, WA 98513-6208
(360) 951-7270
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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