KELLY J ANDERSON

PROVIDENCE HEALTH AND SERVICES WASHINGTON

Dr KELLY J ANDERSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2000 from University Of Washington School Of Medicine.

Contact

PROVIDENCE HEALTH AND SERVICES WASHINGTON

100 W S AVE
CHEWELAH
WA
991099684

Tel: 5099358111

KELLY J ANDERSON Information

Npi 1073844403
Pac Id 9830348861
Professional Enrollment Id I20121005000424
Last Name ANDERSON
First Name KELLY
Middle Name J
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year 2000
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES WASHINGTON
Group Practice Pac Id 0345139929
Number Of Group Practice Members 544
Line 1 Street Address 100 W S AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CHEWELAH
State WA
Zip Code 991099684
Phone Number 5099358111
Hospital Affiliation Ccn 1 501309
Hospital Affiliation Lbn 1 PROVIDENCE ST JOSEPH HOSPITAL
Hospital Affiliation Ccn 2 501326
Hospital Affiliation Lbn 2 PROVIDENCE MOUNT CARMEL HOSPITAL
Hospital Affiliation Ccn 3 500054
Hospital Affiliation Lbn 3 PROVIDENCE SACRED HEART MEDICAL CENTER
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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