Individual
KELLEE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1516 S 11TH ST, TACOMA, WA 98405-3332
(206) 764-0502
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN00167410
WA
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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