Individual
KELLEE K BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
413 LILLY RD SE, OLYMPIA, WA 98501-2108
(253) 888-9077
(904) 634-0203
Mailing address
PO BOX 347, PONTE VEDRA BEACH, FL 32004-0347
(253) 888-9077
(253) 888-9077
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003729
WA
363AS0400X
Surgical Physician Assistant
PA10003729
WA
Other
Enumeration date
03/17/2006
Last updated
08/08/2023
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