Kielty, Michele M.

Kielty, Michele M. is an individual health care provider with primary practice located at 1430 E Main St Suite 202, Santa Maria CA 93454-4809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kielty, Michele M. can be contacted via phone (805) 922-3548.

Contact Information

Primary practice address
1430 E Main St Suite 202 Santa Maria CA 93454-4809
Phone: (805) 922-3548
Fax: (805) 928-5609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1144 Nevada

Profile Details

NPI number 1386617942
LBN Legal business name Kielty, Michele M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Sep 27th, 2013 - about 11 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 1386617942 NPPES
Nevada MEDICAID 100502917
Nevada Other 11320126

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