Individual
KELLIE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 ALASKAN WAY S, ISC SEATTLE, SEATTLE, WA 98134-1102
(206) 217-6432
(206) 217-6636
Mailing address
1519 ALASKAN WAY S, ISC SEATTLE, SEATTLE, WA 98134-1102
(206) 217-6432
(206) 217-6636
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00005631
WA
124Q00000X
Dental Hygienist
RDH 17219
CA
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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