Individual
KELLY SUE KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(800) 540-1814
Mailing address
PO BOX 4069, EVERETT, WA 98204-0007
(425) 353-3788
(425) 353-8041
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60073256
WA
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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