Individual
MS. KATIE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, RC
Contact information
Practice address
5505 30TH AVE NE, SEATTLE, WA 98105-5501
(206) 528-8043
(206) 528-5807
Mailing address
5821 S FLETCHER ST, SEATTLE, WA 98118-6009
(206) 528-8032
(206) 528-5807
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00006704
WA
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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