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Kelly M Weston, OI
Specialist in Kent, Washington
NPI 1851611230

Kelly M Weston is a Specialist based in Kent, WA. Kelly M Weston practices in Kent, WA and has the professional credentials of OI. The NPI Number for Kelly M Weston is 1851611230 and holds a License No. OI 60157011 (Washington).

The current practice location address for Kelly M Weston is 10811 Se Kent Kangley Rd, Kent, WA and can be reached out via phone at 253-854-5660 and via fax at 253-893-7413. You can also correspond with Kelly M Weston through the mailing address at 10811 SE KENT KANGLEY RD, KENT, WA - 98030-7108 (mailing address contact number: 253-854-5660).

Location: 10811 Se Kent Kangley Rd, Kent, WA, 98030-7108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851611230
Provider Name
Kelly M Weston
Credential
OI
Provider Entity Type
Individual
Gender
Male
Address
10811 Se Kent Kangley Rd, Kent, WA, 98030-7108
Phone Number
253-854-5660
Fax Number
253-893-7413
Provider Enumeration Date
06/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7018518 05 WA
institution
Provider Business Practice Location Address Details
Address
10811 Se Kent Kangley Rd
City
Kent
State
Washington
Zip
98030-7108
Phone Number
253-854-5660
Fax Number
253-893-7413
person
Provider Business Mailing Address Details
Address
10811 Se Kent Kangley Rd
City
Kent
State
Washington
Zip
98030-7108
Phone Number
253-854-5660
Fax Number
253-893-7413
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OI 60157011 (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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