Individual
MR. DUYANE LEWIS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
12116 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6000
(360) 256-5253
(360) 256-5081
Mailing address
12116 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6000
(360) 256-5253
(360) 256-5081
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00019384
WA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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