Kelly, Constance Ann
Kelly, Constance Ann is an individual health care provider with primary practice located at 933 E 1St St , Port Angeles WA 98362-4012. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kelly, Constance Ann can be contacted via phone (360) 452-7891.Contact Information
Primary practice address
933 E 1St St
Port Angeles WA 98362-4012
Phone: (360) 452-7891
Fax: (360) 452-8087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH00000979 | Washington |
Profile Details
| NPI number | 1013664333 |
|---|---|
| LBN Legal business name | Kelly, Constance Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2022 |
| Last updated | Feb 16th, 2023 - about 2 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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