Maciver, Kelly Noelle
Maciver, Kelly Noelle is an individual health care provider with primary practice located at 10700 Se 208Th St Suite 207, Kent WA 98031-5545. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Maciver, Kelly Noelle can be contacted via phone (253) 854-3185.Contact Information
Primary practice address
10700 Se 208Th St Suite 207
Kent WA 98031-5545
Phone: (253) 854-3185
Fax: (253) 852-9210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00034146 | Washington |
Profile Details
| NPI number | 1184624710 |
|---|---|
| LBN Legal business name | Maciver, Kelly Noelle |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Feb 9th, 2012 - about 12 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 | 1184624710 | NPPES |
| Washington | Other | 161332 | LABOR AND INDUSTRIES |
| Washington | Other | 3948 HI | LABOR AND INDUSTRIES |
| Washington | MEDICAID | 8314270 | LABOR AND INDUSTRIES |
| Washington | Other | 911088447 | LABOR AND INDUSTRIES |
| Washington | Other | 40828 | LABOR AND INDUSTRIES |
| Washington | Other | 8937182 | LABOR AND INDUSTRIES |
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