Moens, Kelly E

Moens, Kelly E is an individual health care provider with primary practice located at 12606 E Mission Ave , Spokane Valley WA 99216-3421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Moens, Kelly E can be contacted via phone (509) 838-6709.

Contact Information

Primary practice address
12606 E Mission Ave Spokane Valley WA 99216-3421
Phone: (509) 838-6709
Fax: (509) 835-4058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30001703 Washington

Profile Details

NPI number 1013025501
LBN Legal business name Moens, Kelly E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2006
Last updated Sep 12th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013025501 NPPES
Idaho MEDICAID 004376000
Idaho Other 244046
Idaho MEDICAID 9647041

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