Hostetler, Kelly Dawn
Hostetler, Kelly Dawn is an individual health care provider with primary practice located at 665B Cherry Tree Ln , Uniontown PA 15401-8947. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Hostetler, Kelly Dawn can be contacted via phone (724) 438-7676.Contact Information
Primary practice address
665B Cherry Tree Ln
Uniontown PA 15401-8947
Phone: (724) 438-7676
Fax: (724) 438-3060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS030210-L | Pennsylvania |
Profile Details
| NPI number | 1629041280 |
|---|---|
| LBN Legal business name | Hostetler, Kelly Dawn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1629041280 | NPPES |
| Pennsylvania | MEDICAID | 0018764910001 |
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