Thompson, Kelly Elizabeth
Thompson, Kelly Elizabeth is an individual health care provider with primary practice located at 1037 Madison Ave N , Bainbridge Island WA 98110-1727. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Thompson, Kelly Elizabeth can be contacted via phone (206) 842-9890.Contact Information
Primary practice address
1037 Madison Ave N
Bainbridge Island WA 98110-1727
Phone: (206) 842-9890
Fax: (206) 780-1982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00008187 | Washington |
Profile Details
| NPI number | 1740359421 |
|---|---|
| LBN Legal business name | Thompson, Kelly Elizabeth |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jul 9th, 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 | 1740359421 | NPPES |
| Washington | MEDICAID | 5057726 |
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