Cole-Vadjic, Kelli Kristine

Cole-Vadjic, Kelli Kristine is an individual health care provider with primary practice located at 3301 Squalicum Pkwy , Bellingham WA 98225-1919. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cole-Vadjic, Kelli Kristine can be contacted via phone (360) 788-8222.

Contact Information

Primary practice address
3301 Squalicum Pkwy Bellingham WA 98225-1919
Fax: (360) 788-7759
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10005137 Washington

Profile Details

NPI number 1891755989
LBN Legal business name Cole-Vadjic, Kelli Kristine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 11th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891755989 NPPES
Washington MEDICAID 8469983

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