Individual
ALESA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4424 S 188TH ST, SEATAC, WA 98188-5097
(206) 631-6400
Mailing address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 631-3011
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN61340639
WA
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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