Kelly, Sandra L

Kelly, Sandra L is an sole proprietor health care provider with primary practice located at 1 Boone Rd , Bremerton WA 98312-1894. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kelly, Sandra L can be contacted via phone (360) 476-2211.

Contact Information

Primary practice address
1 Boone Rd Bremerton WA 98312-1894
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 00005450 Washington

Profile Details

NPI number 1629591284
LBN Legal business name Kelly, Sandra L
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2017
Last updated Jul 21st, 2022 - 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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