Individual
KELSEY WARDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 188TH ST S, SPANAWAY, WA 98387-4618
(253) 847-2304
Mailing address
134 188TH ST S, SPANAWAY, WA 98387-4618
(253) 847-2304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60887650
WA
Other
Enumeration date
08/30/2018
Last updated
01/24/2023
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