Search › Washington › 104100000X
Kenneth Kelley, LSW
NPI 1760213391 · on the registry since 2024
Practice
- Address
- 1323 Poplar St
Clarkston, WA 99403 - Phone
- (509) 254-7725
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-14
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