Kelly, Tammy Rose

Kelly, Tammy Rose is an individual health care provider with primary practice located at 4465 Cordata Pkwy Ste 102 , Bellingham WA 98226-8037. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kelly, Tammy Rose can be contacted via phone (360) 752-5280.

Contact Information

Primary practice address
4465 Cordata Pkwy Ste 102 Bellingham WA 98226-8037
Phone: (360) 752-5280
Fax: (360) 752-5282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 9040 Nevada
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD61508204 Washington

Profile Details

NPI number 1710986997
LBN Legal business name Kelly, Tammy Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Feb 21st, 2024 - about 10 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710986997 NPPES
Nevada MEDICAID 0020-18783

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