Mavity, Laura Kelly

Mavity, Laura Kelly is an sole proprietor health care provider with primary practice located at 2500 Ne Neff Rd St. Charles Medical Center - Bend, Bend OR 97701-6015. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Mavity, Laura Kelly can be contacted via phone (541) 706-5880.

Contact Information

Primary practice address
2500 Ne Neff Rd St. Charles Medical Center - Bend Bend OR 97701-6015
Phone: (541) 706-5880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD25707 Oregon
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD25707 Oregon

Profile Details

NPI number 1043395890
LBN Legal business name Mavity, Laura Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Apr 17th, 2020 - about 4 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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