Mingus, Kelley Ray
Mingus, Kelley Ray is an individual health care provider with primary practice located at 2700 Washburn Way Suite A, Klamath Falls OR 97603-4518. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mingus, Kelley Ray can be contacted via phone (541) 884-5464.Contact Information
Primary practice address
2700 Washburn Way Suite A
Klamath Falls OR 97603-4518
Phone: (541) 884-5464
Fax: (541) 850-8847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D7191 | Oregon |
Profile Details
| NPI number | 1447259262 |
|---|---|
| LBN Legal business name | Mingus, Kelley Ray |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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