Dr KELLY J ANDERSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2000 from University Of Washington School Of Medicine.
PROVIDENCE HEALTH AND SERVICES WASHINGTON
100 W S AVE
CHEWELAH
WA
991099684
Tel: 5099358111
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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