Individual
KELLY FRANCES BOEING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
817 COMMERCIAL ST, LEAVENWORTH, WA 98826-1316
(509) 548-3420
Mailing address
817 COMMERCIAL ST, LEAVENWORTH, WA 98826-1316
(095) 483-4205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA160585
OR
Other
Enumeration date
11/02/2012
Last updated
07/10/2019
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