Kellicut, Dwight Clesson
Kellicut, Dwight Clesson is an individual health care provider with primary practice located at 1 Jarrett White Rd , Tripler Army Medical Center HI 96859-5001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Kellicut, Dwight Clesson can be contacted via phone (808) 433-6777.Contact Information
Primary practice address
1 Jarrett White Rd
Tripler Army Medical Center HI 96859-5001
Phone: (808) 433-6777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 01053701A | Indiana |
Profile Details
| NPI number | 1871518662 |
|---|---|
| LBN Legal business name | Kellicut, Dwight Clesson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 28th, 2023 - about last year |
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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