Individual
KELLY LYNN KINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP FNP- BC
Contact information
Practice address
2505 S 38TH ST STE 109, TACOMA, WA 98409-7372
(253) 319-2022
Mailing address
2402 29TH STREET PL SE, PUYALLUP, WA 98374-4019
(253) 219-0407
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61561955
WA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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