Kelly, Richard
Kelly, Richard is an individual health care provider with primary practice located at 2901 Squalicum Pkwy , Bellingham WA 98225-1851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kelly, Richard can be contacted via phone (360) 734-5400.Contact Information
Primary practice address
2901 Squalicum Pkwy
Bellingham WA 98225-1851
Phone: (360) 734-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 24642 | Washington |
Profile Details
| NPI number | 1588664767 |
|---|---|
| LBN Legal business name | Kelly, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jul 8th, 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 | 1588664767 | NPPES |
| Washington | MEDICAID | 8108292 |
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