Risse, Kelly F
Risse, Kelly F is an individual health care provider with primary practice located at 3020 S Grand Blvd , Spokane WA 99203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Risse, Kelly F can be contacted via phone (509) 456-6917.Contact Information
Primary practice address
3020 S Grand Blvd
Spokane WA 99203
Phone: (509) 456-6917
Fax: (509) 456-5902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | PT8428 | Washington |
Profile Details
| NPI number | 1629118401 |
|---|---|
| LBN Legal business name | Risse, Kelly F |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1629118401 | NPPES |
| Washington | MEDICAID | 8332785 |
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