Condefer, Kelly A.

Condefer, Kelly A. is an individual health care provider with primary practice located at 820 N Chelan Ave , Wenatchee WA 98801-2028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Condefer, Kelly A. can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
820 N Chelan Ave Wenatchee WA 98801-2028
Phone: (509) 663-8711
Fax: (509) 665-5890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 230886 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD60209586 Washington

Profile Details

NPI number 1134249055
LBN Legal business name Condefer, Kelly A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Aug 19th, 2013 - about 13 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 1134249055 NPPES
Washington Other 0280068 L&I
Washington MEDICAID 2012612 L&I

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