person
Kelly Anne Moen
Student in an Organized Health Care Education/Training Program in Vancouver, Washington
NPI 1255050704

Kelly Anne Moen is a Student in an Organized Health Care Education/Training Program based in Vancouver, WA. Kelly Anne Moen practices in Vancouver, WA. The NPI Number for Kelly Anne Moen is 1255050704 and holds a License No. (Washington).

The current practice location address for Kelly Anne Moen is 1319 Ne 134Th St Ste 111, Vancouver, WA and can be reached out via phone at 360-907-7069.

Location: 1319 Ne 134Th St Ste 111, Vancouver, WA, 98686-4975
person
Provider Profile Details
NPI Number
1255050704
Provider Name
Kelly Anne Moen
Credential
Provider Entity Type
Individual
Gender
Female
Address
1319 Ne 134Th St Ste 111, Vancouver, WA, 98686-4975
Phone Number
360-907-7069
Fax Number
Provider Enumeration Date
08/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1319 Ne 134Th St Ste 111
City
State
Zip
98685-2718
Phone Number
360-907-7069
Fax Number
person
Provider Business Mailing Address Details
Address
1319 Ne 134Th St Ste 111
City
State
Zip
98685-2718
Phone Number
360-907-7069
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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