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Individual

KATHLEEN LOVE KELLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
19307 E CATALDO AVE, SPOKANE VALLEY, WA 99016-9489
(509) 228-5400
Mailing address
10230 N SEMINOLE DR, SPOKANE, WA 99208-8631
(509) 466-8960

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OC00000126
WA

Other

Enumeration date
09/18/2012
Last updated
09/18/2012
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