Organization
KELIOTTMD OF SEATTLE LLC
Active
Other names
BodyLogicMD of Seattle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN JANE ELLIOTT MD (MEDICAL DIRECTOR)
(206) 351-7516
Entity
Organization
Contact information
Practice address
811 1ST AVE STE 626, SUITE 626, SEATTLE, WA 98104-1434
(206) 351-7516
Mailing address
2817 E PARK DR E, SEATTLE, WA 98112-2003
(206) 351-7516
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
60308596
WA
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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