Individual
GLENN KELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LR
Contact information
Practice address
2700 152ND AVE NE, REDMOND, WA 98052-5543
(425) 883-5151
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
LR 0002085
WA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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