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General NPI Number Information
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NPI Number | 1801419965
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Entity Type | Individual
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Provider Name | KELLI KRAMER MCLAREN PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/24/2020
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 888 SWIFT BLVD
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City | RICHLAND
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State | WA
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Zip | 99352-3514
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Country | US
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Telephone | 509-946-4611
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Fax |
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Provider Business Mailing Address
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Address Line | 2716 STONECREEK DR
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City | RICHLAND
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State | WA
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Zip | 99354-2149
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Country | US
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Telephone | 541-231-8180
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | PA61355091
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA61355091
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License Number State | WA
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