Kellow, Nolan Wesley

Kellow, Nolan Wesley is an individual health care provider with primary practice located at 144 169Th St S Suite B, Spanaway WA 98387-8201. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kellow, Nolan Wesley can be contacted via phone (253) 846-8918.

Contact Information

Primary practice address
144 169Th St S Suite B Spanaway WA 98387-8201
Phone: (253) 846-8918
Fax: (253) 846-8126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT60100044 Washington

Profile Details

NPI number 1972836658
LBN Legal business name Kellow, Nolan Wesley
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2009
Last updated Nov 24th, 2009 - about 16 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 1972836658 NPPES
Washington Other 0048KE REGENCE BLUE SHIELD
Washington Other 0253931 REGENCE BLUE SHIELD

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