Individual
KELSY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26928 120TH ST E, BUCKLEY, WA 98321-8565
(360) 829-5516
(260) 829-3351
Mailing address
26928 120TH ST E, BUCKLEY, WA 98321-8565
(360) 829-5516
(360) 829-3351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00146512
WA
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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