Gillroy, Kelley Ann
Gillroy, Kelley Ann is an sole proprietor health care provider with primary practice located at 165 Lilly Rd Ne Ste A , Olympia WA 98506-5086. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Gillroy, Kelley Ann can be contacted via phone (360) 438-9092.Contact Information
Primary practice address
165 Lilly Rd Ne Ste A
Olympia WA 98506-5086
Phone: (360) 438-9092
Fax: (604) 383-9063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 0677 | Arizona |
Profile Details
| NPI number | 1104044098 |
|---|---|
| LBN Legal business name | Gillroy, Kelley Ann |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Feb 26th, 2021 - about 3 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 | 1104044098 | NPPES |
| Arizona | MEDICAID | 428205 |
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