Kelly, David M
Kelly, David M is an individual health care provider with primary practice located at 1900 116Th Ave Ne Ste 201 , Bellevue WA 98004-3013. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Kelly, David M can be contacted via phone (425) 451-8831.Contact Information
Primary practice address
1900 116Th Ave Ne Ste 201
Bellevue WA 98004-3013
Phone: (425) 451-8831
Fax: (425) 450-1598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | PS00000347 | Washington |
Profile Details
| NPI number | 1508057845 |
|---|---|
| LBN Legal business name | Kelly, David M |
| Credentials | Certified Psychologist (CP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Aug 1st, 2007 - about 17 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 | 1508057845 | NPPES |
| Washington | MEDICAID | 8405789 |
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