Individual
KELLI J SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 W 5TH AVE STE 300, SPOKANE, WA 99204-2972
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP60520818
WA
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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