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Individual

KELLE EVONNE BAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-9853
(206) 215-3636
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN00114759
WA
163WL0100X
Lactation Consultant (Registered Nurse)
19915373
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60148511
WA

Other

Enumeration date
07/26/2011
Last updated
01/06/2014
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