Mandella, Kelly
Mandella, Kelly is an individual health care provider with primary practice located at 2722 Colby Ave Suite 318, Everett WA 98201-3557. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mandella, Kelly can be contacted via phone (425) 551-1000.Contact Information
Primary practice address
2722 Colby Ave Suite 318
Everett WA 98201-3557
Phone: (425) 551-1000
Fax: (425) 551-1001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH00007041 | Washington |
Profile Details
| NPI number | 1306150941 |
|---|---|
| LBN Legal business name | Mandella, Kelly |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2010 |
| Last updated | Aug 5th, 2010 - about 15 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 | 1306150941 | NPPES |
| Washington | MEDICAID | 5902481 |
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