Kelty, Maureen
Kelty, Maureen is an individual health care provider with primary practice located at 3015 Squalicum Pkwy #280, Bellingham WA 98225-1945. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kelty, Maureen can be contacted via phone (360) 671-2425.Contact Information
Primary practice address
3015 Squalicum Pkwy #280
Bellingham WA 98225-1945
Phone: (360) 671-2425
Fax: (360) 671-1470
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MD00029033 | Washington |
Profile Details
NPI number | 1457336000 |
---|---|
LBN Legal business name | Kelty, Maureen |
Credentials | MD PC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 7th, 2005 |
Last updated | Oct 3rd, 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 | 1457336000 | NPPES |
Washington | MEDICAID | 1071497 |
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