Healthcare Provider Details

I. General information

NPI: 1629904362
Provider Name (Legal Business Name): KELSEY R BOZE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 SQUALICUM PKWY STE 203
BELLINGHAM WA
98225-1892
US

IV. Provider business mailing address

314 HOWELL WAY
EDMONDS WA
98020-4118
US

V. Phone/Fax

Practice location:
  • Phone: 360-733-0640
  • Fax: 360-733-1034
Mailing address:
  • Phone: 360-733-0640
  • Fax: 360-733-1034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: