Kelly, Carol
Kelly, Carol is an sole proprietor health care provider with primary practice located at 8550 W 38Th Ave Suite 306, Wheat Ridge CO 80033-4300. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kelly, Carol can be contacted via phone (303) 467-8888.Contact Information
Primary practice address
8550 W 38Th Ave Suite 306
Wheat Ridge CO 80033-4300
Phone: (303) 467-8888
Fax: (303) 467-8801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 904143 | Colorado |
Profile Details
| NPI number | 1396084034 |
|---|---|
| LBN Legal business name | Kelly, Carol |
| Credentials | DENTAL HYGIENIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2013 |
| Last updated | Jan 31st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396084034 | NPPES |
| Colorado | MEDICAID | 12826740 |
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