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Kelli Louise Brock, RN
School Registered Nurse in Graham, Washington
NPI 1053034611

Kelli Louise Brock is a School Registered Nurse based in Spanaway, WA and is specialized in School. Kelli Louise Brock practices in Graham, WA and has the professional credentials of RN. The NPI Number for Kelli Louise Brock is 1053034611 and holds a License No. RN60594938 (Washington).

The current practice location address for Kelli Louise Brock is 10412 264Th St E, Graham, WA and can be reached out via phone at 253-800-8693.

Location: 10412 264Th St E, Graham, WA, 98387-8335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053034611
Provider Name
Kelli Louise Brock
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
10412 264Th St E, Graham, WA, 98387-8335
Phone Number
253-800-8693
Fax Number
Provider Enumeration Date
09/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10412 264Th St E
City
Graham
State
Washington
Zip
98338-8795
Phone Number
253-800-8693
Fax Number
person
Provider Business Mailing Address Details
Address
10412 264Th St E
City
Graham
State
Washington
Zip
98338-8795
Phone Number
253-800-8693
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
RN60594938 (Washington)
Definition
Definition to come...
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