NPI 1023931672

Kristy Holly, LPN

Practitioner Adult Care Home Facility Kelso, WA

Practice location

Address: 205 Pelican Dr, Kelso, WA 98626-5811
Phone: (360) 353-5717
Fax: (360) 998-3420

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 753805 (WA)

Other Custodial Care Facility providers in Washington →

Registry record

NPI: 1023931672
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2026
Record last updated: 31 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.