Dale, Kelly M
Dale, Kelly M is an sole proprietor health care provider with primary practice located at 4420 76Th St Ne , Marysville WA 98270-3726. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dale, Kelly M can be contacted via phone (360) 651-7493.Contact Information
Primary practice address
4420 76Th St Ne
Marysville WA 98270-3726
Phone: (360) 651-7493
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30005577 | Washington |
Profile Details
| NPI number | 1770653784 |
|---|---|
| LBN Legal business name | Dale, Kelly M |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Dec 11th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770653784 | NPPES |
| Washington | MEDICAID | 1018658 |
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