Kellert, Cheryl Ann
Kellert, Cheryl Ann is an individual health care provider with primary practice located at 4545 Cordata Pkwy , Bellingham WA 98226-7123. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Kellert, Cheryl Ann can be contacted via phone (360) 738-2200.Contact Information
Primary practice address
4545 Cordata Pkwy
Bellingham WA 98226-7123
Phone: (360) 738-2200
Fax: (360) 752-5282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | A397180 | California |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | A397180 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD60054703 | Washington |
Profile Details
| NPI number | 1801871108 |
|---|---|
| LBN Legal business name | Kellert, Cheryl Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Sep 20th, 2010 - about 14 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 | 1801871108 | NPPES |
| Washington | Other | 0244019 | L&I AND CRIME VICTIMS |
| Washington | MEDICAID | 00A397180 | L&I AND CRIME VICTIMS |
| Washington | MEDICAID | 1801871108 | L&I AND CRIME VICTIMS |
| Washington | Other | 6776KE | L&I AND CRIME VICTIMS |
| Washington | Other | 4055951 | L&I AND CRIME VICTIMS |
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