| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLY RENEE BRASWELL | 1942827704 | 2020-06-28 |
Kelly Renee Braswell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942827704. Registration indicates Kelly Renee Braswell is a provider of services with a specialization in Nursing Service Providers, Licensed Practical Nurse (Licensed Practical Nurse, ) (Licensed Practical Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Kelly Renee Braswell LPN |
| Practice Office Address | 1601 E 4TH PLAIN BLVD VANCOUVER, WA US |
| Practice Office Telephone | 3609499292 |
| Mailing Address | 1601 E 4TH PLAIN BLVD VANCOUVER, WA 986613713 US |
| Business Telephone | 3609499292 |
| Code | Practice | License No State |
|---|---|---|
| 164W00000X PRIMARY | Nursing Service Providers Licensed Practical Nurse Licensed Practical Nurse Licensed Practical Nurse Nursing Service Providers | 60339791
WA |