Alesa Kelly, RN
Registered Nurse, School in Seatac, WA. Individual provider (NPI-1).
NPI number1609593565
StatusActive
Last updated in NPPESOct 21, 2022
Details
- NPI
- 1609593565
- Entity type
- Individual (NPI-1)
- Name
- Alesa Kelly
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2022
- Certification date
- Oct 21, 2022
- Last updated
- Oct 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WS0200X | Registered Nurse, School | RN61340639 | WA | Yes |
Other names
- Alesa Shellady (Former Name)
Practice location
4424 S 188th StSeatac, WA 98188-5097
Phone 206-631-6400
Mailing address
15675 Ambaum Blvd SwBurien, WA 98166-2523
Phone 206-631-3011
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