Most Relevant Information
Provider Data
| NPI Number: | 1003280959 |
| Provider Name: | KELLY HIGDON |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN60529555 |
Most Important Dates
| Enumeration Date: | 11/16/2015 |
| Last Updated: | 11/16/2015 |
Provider Practice Location
1012 E 1ST AVE
CAMAS
WA
986071625
Practice Location Phone/Fax
| Phone: | 3609362247 |
| Fax: |
Provider Mailing Location
1012 E 1ST AVE
CAMAS
WA
986071625
Provider Mailing Phone/Fax
| Phone: | 3609362247 |
| Fax: |