Individual
CYNTHIA M M KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 E SAINT ANDREWS DR, SHELTON, WA 98584-9666
(619) 245-7668
Mailing address
440 E SAINT ANDREWS DR, SHELTON, WA 98584-9666
(619) 245-7668
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
5674
WA
Other
Enumeration date
03/30/2023
Last updated
04/07/2023
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