Kelly L. Bounting
Specialist in Bonney Lake, WA(View on Map)
Full Name
Kelly L Bounting
NPI Number
1063542470
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/06/2007
Specialties
(Taxonomies)Licenses
State
Washington
License Number
MA00012445
Contact
Information
Purpose
Mailing
Location
Address
19950 SOUTH PRAIRIE RD
19950 SOUTH PRAIRIE RD
City
Bonney Lake
Bonney Lake
State
WA
WA
Postal Code
98391-7901
98391-7901
Country
US
US
Telephone Number
(253) 862-1555
(253) 862-1555
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/12/2012