Male or Other

Cody Kelly

Counselor in Lynnwood, WA(View on Map)

Full Name

Cody Kelly

NPI Number

1225774243

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/11/2022

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

17018 15TH AVE NE
5924 204TH ST SW

City

Shoreline
Lynnwood

State

WA
WA

Postal Code

98155-5137
98036

Country

US
US

Telephone Number

(206) 362-7282
(206) 461-3649

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/22/2024

Provider Address

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