Individual
KELSEY HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-3404
(360) 735-8100
(360) 253-1781
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61445178
WA
207Q00000X
Family Medicine Physician
MRM-1930
ID
Other
Enumeration date
05/15/2020
Last updated
08/24/2023
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