Kellner, Elizabeth

Kellner, Elizabeth is an sole proprietor health care provider with primary practice located at 2468 Tremont St , North Bend OR 97459-3320. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Kellner, Elizabeth can be contacted via phone (541) 756-0156.

Contact Information

Primary practice address
2468 Tremont St North Bend OR 97459-3320
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D11686 Oregon
Dental Providers / Pediatric Dentistry 1223P0221X 073 Oklahoma

Profile Details

NPI number 1760521934
LBN Legal business name Kellner, Elizabeth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Nov 9th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760521934 NPPES
Oklahoma MEDICAID 200062680A

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