Individual
KELAN RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7299
Mailing address
8500 20TH AVE NE, SEATTLE, WA 98115-3569
(406) 560-1481
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN61446671
WA
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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