| Doctor Name: | MS. SHENA CEARA KELLEWEA |
| NPI Number: | 1184814238 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN,BC |
| License Number: | AP30005041 |
| Business Practice Address: | 884 W Park Ave Port Townsend, WA - 983682273 |
| Business Phone Number: | 3603850321 |
| Business Fax Number: | 3603795534 |
| Mailing Address: | Po Box 565, PORT TOWNSEND |
| State: | WA |
| Postal Code: | 983680565 |
| Phone Number: | 3603850321 |
| Fax Number: | 3603795534 |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 08/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0807X |
| License Number: | AP30005041 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |