Individual
KELLIE R PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6700 MARTIN WAY E STE 117, OLYMPIA, WA 98516-5586
(360) 413-6910
Mailing address
2507 BITAR AVE APT C, JOINT BASE LEWIS MCCHORD, WA 98433-1810
(951) 440-1750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61177840
WA
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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