Kelley Randall Haskins | Kennewick, WA • PECOS Search

Kelley Randall Haskins

Counselor

Behavioral Health & Social Service Providers

3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968

(509) 735-6446 (206) 794-9037

PECOS Enrollment

Based on the most recent information from CMS, provider Kelley Randall Haskins does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1356123889
Provider Type
Individual
Full Name
Haskins, Kelley Randall
Title
Ms.
Credential
MSW

Gender
Female
Sole Proprietor
No
Enumeration Date
10/18/2023
Last Updated
10/18/2023

Contact Information

Practice Location

3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968

Unlisted Fax

Mailing Location

2844 Monarch Ln, Richland, WA 99354-2185

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer