King, Kelly Marie

King, Kelly Marie is an sole proprietor health care provider with primary practice located at 13013 Sw Caddy Pl , Tigard OR 97223-2892. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. King, Kelly Marie can be contacted via phone (503) 766-3263.

Contact Information

Primary practice address
13013 Sw Caddy Pl Tigard OR 97223-2892
Phone: (503) 766-3263
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X LL17410 Oregon

Profile Details

NPI number 1235327883
LBN Legal business name King, Kelly Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2007
Last updated Oct 14th, 2020 - about 5 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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