Individual
TAWNYA MISHELLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAS
Contact information
Practice address
320 W WILLOW ST, WALLA WALLA, WA 99362-2922
(509) 525-3720
(509) 524-1813
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4498
(509) 525-3720
(509) 522-1593
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA61174893
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780658419
WALLA WALLA CLINIC NPI
WA
Enumeration date
10/27/2021
Last updated
10/27/2021
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