Kelly Clark Burns
Individual provider Active NPI Health & Wellness Coach · Colbert, WA
NPI 1245019207 · NPPES record last updated Sep 27, 2023
Key facts
- NPI
- 1245019207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- License
- A-3391085 (WA)
- Practice address
- 5315 E Silver Pine Rd
Colbert, WA 99005-9574 - Phone
- (509) 230-9573
- NPI assigned
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-3391085 | WA | MD | Health & Wellness Coach |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | A-3391085 | WA | Yes |
Addresses
Primary practice location
5315 E Silver Pine Rd
Colbert, WA 99005-9574
Mailing address
5315 E Silver Pine Rd
Colbert, WA 99005-9574
Phone (509) 230-9573
Other providers in Colbert, WA
- Patricia Lee Allen-Thompson
- Brandy Bergeson
- Deborah Joy Bone
- Katherine Frost Brambila
- Sandra Ann Brock
- Chit-Chat Speech Therapy
- From Birth to Breast LLC
- Sadonia Garner
- Lisa Hartzer
- Lacie J Hearron
All providers in Colbert, WA · Health & Wellness Coach in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.