Brock, Kelli Louise

Brock, Kelli Louise is an individual health care provider with primary practice located at 10412 264Th St E , Graham WA 98338-8795. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Brock, Kelli Louise can be contacted via phone (253) 800-8693.

Contact Information

Primary practice address
10412 264Th St E Graham WA 98338-8795
Phone: (253) 800-8693
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN60594938 Washington

Profile Details

NPI number 1053034611
LBN Legal business name Brock, Kelli Louise
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2022
Last updated Sep 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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