Individual
KELLY JEAN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, RN
Contact information
Practice address
1160 NW KATHLEEN DR, OAK HARBOR, WA 98277-9289
(360) 632-3059
Mailing address
1160 NW KATHLEEN DR, OAK HARBOR, WA 98277-9289
(360) 632-3059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60076144
WA
164W00000X
Licensed Practical Nurse
LP00059279
WA
Other
Enumeration date
02/28/2009
Last updated
02/28/2009
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