Individual
EILEEN APRIL KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Mailing address
3008 S OLYMPIA ST, KENNEWICK, WA 99337-4360
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60886628
WA
Other
Enumeration date
02/01/2025
Last updated
04/02/2025
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