Individual
KATHERINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20420 68TH AVE W, LYNNWOOD, WA 98036-7405
(425) 431-7000
Mailing address
14630 60TH AVE W, EDMONDS, WA 98026-3608
(425) 319-5730
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00160588
WA
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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