Provider Demographics
NPI:1952755274
Name:MCENTEE, KELLI MARIE GEIGER (MD)
Entity Type:Individual
Prefix:
First Name:KELLI
Middle Name:MARIE GEIGER
Last Name:MCENTEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KELLI
Other - Middle Name:MARIE
Other - Last Name:GEIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 421
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-0421
Mailing Address - Country:US
Mailing Address - Phone:150-982-4158
Mailing Address - Fax:509-227-7070
Practice Address - Street 1:920 N WASHINGTON ST STE 200
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2229
Practice Address - Country:US
Practice Address - Phone:509-252-4200
Practice Address - Fax:509-252-4201
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61053512207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology