Individual
KELLIE MARIE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1298 GROW AVE NW, BAINBRIDGE ISLAND, WA 98110-2708
(206) 780-5437
Mailing address
9795 MANDUS OLSON RD NE, BAINBRIDGE ISLAND, WA 98110-1575
(603) 860-7886
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61649869
WA
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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