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Kelly Park
NPI 1801548417 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2100 24th Ave S # 205
Seattle, WA 98144 - Phone
- (206) 382-5340
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101Y00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington