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Kelly L Bounting
Specialist in Bonney Lake, Washington
NPI 1063542470

Kelly L Bounting is a Specialist based in Bonney Lake, WA. Kelly L Bounting practices in Bonney Lake, WA. The NPI Number for Kelly L Bounting is 1063542470 and holds a License No. MA00012445 (Washington).

The current practice location address for Kelly L Bounting is 19950 South Prairie Rd, Bonney Lake, WA and can be reached out via phone at 253-862-1555 and via fax at 253-862-1557.

Location: 19950 South Prairie Rd, Bonney Lake, WA, 98391-7901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063542470
Provider Name
Kelly L Bounting
Credential
Provider Entity Type
Individual
Gender
Female
Address
19950 South Prairie Rd, Bonney Lake, WA, 98391-7901
Phone Number
253-862-1555
Fax Number
253-862-1557
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19950 South Prairie Rd
City
Bonney Lake
State
Washington
Zip
98391-7901
Phone Number
253-862-1555
Fax Number
253-862-1557
person
Provider Business Mailing Address Details
Address
19950 South Prairie Rd
City
Bonney Lake
State
Washington
Zip
98391-7901
Phone Number
253-862-1555
Fax Number
253-862-1557
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00012445 (Washington)
Definition
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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