Individual
KELLY BEHNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
521 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926
(509) 962-1414
(509) 962-1408
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60789827
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0395139
LABOR AND INDUSTRIES
WA
05
—
2090251
—
WA
Enumeration date
01/22/2014
Last updated
09/19/2024
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