Healthcare Provider Details

I. General information

NPI: 1225320864
Provider Name (Legal Business Name): KARA KELLER RASPLICA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2011
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 KIMBALL DR STE 104
GIG HARBOR WA
98335-1228
US

IV. Provider business mailing address

6401 KIMBALL DR STE 104
GIG HARBOR WA
98335-1228
US

V. Phone/Fax

Practice location:
  • Phone: 253-853-8050
  • Fax: 253-853-8067
Mailing address:
  • Phone: 253-853-8050
  • Fax: 253-853-8067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60491300
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN60040811
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: