Individual
KELLY LYNN PODOLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10215 LAKE CITY WAY NE STE H, SEATTLE, WA 98125-7758
(206) 417-9904
Mailing address
10215 LAKE CITY WAY NE STE H, SEATTLE, WA 98125-7758
(206) 417-9904
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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