Provider Demographics
NPI:1285908780
Name:K&S
Entity type:Organization
Organization Name:K&S
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:MARTENE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:360-718-2515
Mailing Address - Street 1:300 W 39TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-1960
Mailing Address - Country:US
Mailing Address - Phone:360-718-2515
Mailing Address - Fax:360-993-1800
Practice Address - Street 1:300 W 39TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-1960
Practice Address - Country:US
Practice Address - Phone:360-718-2515
Practice Address - Fax:360-993-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005937363LF0000X
WAAP30006359363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty