Individual
MS. KELLY CARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7527 22ND AVE NW, SEATTLE, WA 98117-4312
(206) 545-1884
Mailing address
7527 22ND AVE NW, SEATTLE, WA 98117-4312
(206) 545-1884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
533108-07
WA
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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