Kellough, Tamsyn

Kellough, Tamsyn is an sole proprietor health care provider with primary practice located at 2180 Main St , Wailuku HI 96793-1625. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kellough, Tamsyn can be contacted via phone (808) 249-8080.

Contact Information

Primary practice address
2180 Main St Wailuku HI 96793-1625
Phone: (808) 249-8080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1770143026
LBN Legal business name Kellough, Tamsyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2019
Last updated May 4th, 2020 - about 5 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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