Kellso, Mary

Kellso, Mary is an individual health care provider with primary practice located at 2690 Ne Kresky Ave , Chehalis WA 98532-2412. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kellso, Mary can be contacted via phone (360) 330-9543.

Contact Information

Primary practice address
2690 Ne Kresky Ave Chehalis WA 98532-2412
Phone: (360) 330-9543
Fax: (360) 330-9860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH00005629 Washington

Profile Details

NPI number 1942744461
LBN Legal business name Kellso, Mary
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2016
Last updated Dec 19th, 2016 - about 9 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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