Individual
KELLIE ANNE HARKNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-8142
(253) 477-5149
(253) 477-5143
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
115697
KS
363LF0000X
Family Nurse Practitioner
Primary
AP61024006
WA
Other
Enumeration date
04/08/2019
Last updated
06/02/2025
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