Individual
KELLY DART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11203 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3002
(253) 589-1380
Mailing address
11203 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60833349
WA
Other
Enumeration date
02/25/2018
Last updated
04/26/2023
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