Individual
MRS. HEIDI ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 REID ST, TACOMA, WA 98431-1100
(253) 968-4382
Mailing address
1418 BEECH AVE, STEILACOOM, WA 98388-3818
(253) 267-5665
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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