| NPI Details | |
|---|---|
| NPI | 1730374836 |
| Gender | Female |
| Enumeration Date | 09/11/2007 |
| Last Updated | 09/11/2007 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 6515 12TH AVE NE SEATTLE WA, 98115-6753, US |
|
| Phone | (206) 356-6933 |
| Fax | (206) 709-4355 |
| Business Location | |
|---|---|
| 6515 12TH AVE NE SEATTLE WA, 98115-6753, US |
|
| Phone | (206) 356-6933 |
| Fax | (206) 709-4355 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225700000X |
| License State | Washington |
| License Number | MA00017608 |
| Remove 1730374836 NPI Number | |
According to our database, Kandice Jean Kelly LMP NPI is 1730374836, taxonomy code is 225700000X and license number is MA00017608, license state is located at Washington. Kandice Jean Kelly LMP physically located at 6515 12th Ave Ne, Seattle WA, 98115-6753. NPI Number Kandice Jean Kelly LMP has the Individual type.
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1730374836 NPI number is provided on an as is basis without warranty of any kind. 1730374836 is maintained by the National Plan & Provider Enumeration System. The contents of Kandice Jean Kelly LMP are for informational purposes only.
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