Individual
DR. KELLY SWEERUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 MINOR AVE, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 576-3802
Mailing address
515 MINOR AVE, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 576-3802
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD60431899
WA
390200000X
Student in an Organized Health Care Education/Training Program
4301092101
MI
390200000X
Student in an Organized Health Care Education/Training Program
A115721
CA
Other
Enumeration date
07/03/2008
Last updated
03/05/2021
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