Mahar, Kelley

Mahar, Kelley is an individual health care provider with primary practice located at 110 W Hewitt Ave , Marquette MI 49855-3533. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mahar, Kelley can be contacted via phone (906) 360-2636.

Contact Information

Primary practice address
110 W Hewitt Ave Marquette MI 49855-3533
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301073735 Michigan

Profile Details

NPI number 1568494722
LBN Legal business name Mahar, Kelley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 18th, 2019 - about 6 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 1568494722 NPPES
Michigan MEDICAID 104430369

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