Individual
KELLY NICOLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, C-212, BOX 356340, SEATTLE, WA 98195-6340
(206) 543-0065
Mailing address
4800 SAND POINT WAY NE, M/S W7847, BOX 5371, CRANIOFACIAL CTR., SEATTLE, WA 98105-3901
(206) 854-0754
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ML20008094
WA
Other
Enumeration date
08/25/2006
Last updated
08/17/2010
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