Kelley, Mary Caroline
Kelley, Mary Caroline is an sole proprietor health care provider with primary practice located at 9811 Whitman Ave Sw Apt 20 , Lakewood WA 98499-1723. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kelley, Mary Caroline can be contacted via phone (628) 800-4217.Contact Information
Primary practice address
9811 Whitman Ave Sw Apt 20
Lakewood WA 98499-1723
Phone: (628) 800-4217
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP60580649 | Washington |
Profile Details
| NPI number | 1700120540 |
|---|---|
| LBN Legal business name | Kelley, Mary Caroline |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2012 |
| Last updated | Jul 27th, 2022 - about 2 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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