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General NPI Number Information
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NPI Number | 1578095287
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Entity Type | Individual
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Provider Name | KELLY L LAWSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 175 PARFITT WAY SW STE N285
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-4925
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Country | US
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Telephone | 206-504-3784
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Fax | 206-385-5825
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Provider Business Mailing Address
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Address Line | 175 PARFITT WAY SW STE N285
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-4925
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Country | US
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Telephone | 206-504-3784
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Fax | 206-385-5825
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60763392
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP60763392
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License Number State | WA
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