| Katherine J. Kelly, Ph.d. | |
|
707 S Grady Way #600 Renton WA 98057-3224 | |
| (425) 757-2920 | |
| (425) 757-2920 |
| Full Name | Katherine J. Kelly, Ph.d. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 707 S Grady Way, Renton, Washington |
| Authorized Official Name and Position | Katherine Jane Kelly (PSYCHOLOGIST) |
| Authorized Official Contact | 4257572920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine J. Kelly, Ph.d. 707 S Grady Way #600 Renton WA 98057-3224 Ph: (425) 757-2920 | Katherine J. Kelly, Ph.d. 707 S Grady Way #600 Renton WA 98057-3224 Ph: (425) 757-2920 |
| NPI Number | 1457720351 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 09/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457720351 | NPI | - | NPPES |
| 1841483286 | Other | WA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY 60563485 (Washington) | Primary |
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