Individual provider · Type 1 NPI

Eliseha Ennee Kelly, LMP

Specialist · Seattle, WA

NPI number 1255606448 Active

Practice location

1812 E Madison St
Seattle, WA 98122-2843

Call (206) 850-6428 Map

Mailing address

4651 S Frontenac St
Seattle, WA 98118-3627

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA 60253578 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255606448

Eliseha Ennee Kelly, LMP's National Provider Identifier is 1255606448, issued on Mar 20, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Seattle, WA. The record was last updated on Mar 20, 2012.