Provider Demographics
NPI:1528851904
Name:WASHINGTON, KELLI (DOULA)
Entity type:Individual
Prefix:
First Name:KELLI
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 CLEBURNE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5434
Mailing Address - Country:US
Mailing Address - Phone:713-696-9451
Mailing Address - Fax:346-446-6208
Practice Address - Street 1:2820 CLEBURNE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5434
Practice Address - Country:US
Practice Address - Phone:713-696-9451
Practice Address - Fax:346-446-6208
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula