Individual
KELSEY ELIZABETH RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1420
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1420
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
208D00000X
General Practice Physician
Primary
36766
NE
Other
Enumeration date
02/27/2023
Last updated
05/18/2026
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