Individual
MISS HEATHER JEANETTE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6020 3RD AVE NW, SEATTLE, WA 98107-2104
(206) 300-2421
Mailing address
PO BOX 371, BELFAIR, WA 98528-0371
(206) 300-2421
(425) 424-3256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
WA
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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