SearchWashington225700000X

Kelly Broyles-Pederson, LMP

NPI 1508167719 · on the registry since 2010

Practice

Address
11 Bellwether Way Suite 102
Bellingham, WA 98225
Phone
(360) 715-1050
Organisation at this address
Spyglass Optik, P.S.
Lynden Vision Clinic, Ps
Northwest Neurology Carolyn L. Taylor, M.D. Ps
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-06

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