NPI 1467224709

Kelsey Breanne Koukol, CNA

Practitioner Home Health Aide Kennewick, WA

Practice location

Address: 8819 W Victoria Ave, Kennewick, WA 99336-7193
Phone: (509) 783-1851

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X Licence NC60461107 (WA)

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Registry record

NPI: 1467224709
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2023
Record last updated: 30 Oct 2023

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.