| Kelly Ohern, | |
|
3725 Providence Point Dr Se, Issaquah, WA 98029-7219 | |
| (425) 391-2800 | |
| Not Available |
| Full Name | Kelly Ohern |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 3725 Providence Point Dr Se, Issaquah, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093581811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | P62058 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ohern, 527 3rd Ave N, Clinton, IA 52732-3948 Ph: (156) 332-1547 | Kelly Ohern, 3725 Providence Point Dr Se, Issaquah, WA 98029-7219 Ph: (425) 391-2800 |
Traci Brune, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3725 Providence Point Dr Se, Issaquah, WA 98029 Phone: 425-391-2800 | |
Syreeta Nicole Tarboro, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3725 Providence Point Dr Se, Issaquah, WA 98029 Phone: 215-960-1171 | |
Francesca Macauley, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3725 Providence Point Dr Se, Issaquah, WA 98029 Phone: 425-391-2800 | |
Jamesha Mical Jiles, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3725 Providence Point Dr Se, Issaquah, WA 98029 Phone: 425-391-2800 |