Individual
KELSEY BREANNE KOUKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
8819 W VICTORIA AVE, KENNEWICK, WA 99336-7193
(509) 783-1851
Mailing address
8819 W VICTORIA AVE, KENNEWICK, WA 99336-7193
(509) 783-1851
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
NC60461107
WA
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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