Individual
MRS. KELLY LYNN PARMELEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP NCBTMB
Contact information
Practice address
805 BROADWAY ST, VANCOUVER, WA 98660-3213
(503) 913-2825
(360) 823-0141
Mailing address
805 BROADWAY ST, VANCOUVER, WA 98660-3213
(503) 913-2825
(360) 823-0141
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020778
WA
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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