Individual
KELLY WALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
325 9TH AVE # MS 359797, SEATTLE, WA 98104-2420
(206) 744-9663
Mailing address
325 9TH AVE # MS 359797, SEATTLE, WA 98104-2420
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN60575500
WA
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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