Individual
KELLY C. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10521 MERIDIAN AVE N, SEATTLE, WA 98133-9509
(206) 296-4990
(206) 205-5142
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60570456
WA
Other
Enumeration date
07/16/2015
Last updated
03/05/2025
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