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Individual

KELLY ELIZABETH BELTRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1321 COLBY AVE, EMERGENCY DEPARTMENT, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
1001 N BROADWAY, #A11, EVERETT, WA 98201-1586
(425) 259-0212
(425) 259-0209

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60017286
WA
363A00000X
Physician Assistant
PA18715
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA18715
CA
Enumeration date
11/06/2006
Last updated
12/07/2017
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