Individual
KELLY FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6824 19TH ST W # 654, UNIVERSITY PLACE, WA 98466-5528
(405) 642-0491
Mailing address
6824 19TH ST W # 654, UNIVERSITY PLACE, WA 98466-5528
(405) 642-0491
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
79648
NM
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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