SearchWashington101YA0400X

Kelly Knittle

NPI 1164870267 · on the registry since 2016 · sole proprietor

Practice

Address
4820 She-Nah-Num Dr. Se
Olympia, WA 98520
Phone
(360) 413-2727

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington