Individual
KELLY JEAN MCGIVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6710 108TH AVE NE, KIRKLAND, WA 98033-7050
(425) 979-7445
Mailing address
11001 NE 65TH ST, KIRKLAND, WA 98033-7117
(206) 818-8137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60667624
WA
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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