Individual
KELSEY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24323 54TH AVE E, GRAHAM, WA 98338-9549
(253) 683-7700
Mailing address
1803 MAPLE RD, CORINTH, MS 38834-2719
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60883820
WA
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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