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
Fax: (360) 671-1470
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457336000 NPPES
Washington MEDICAID 1071497

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