Female

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)

Code

174400000X

Primary Taxonomy

Yes

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

Provider Address

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