Wulf, Kelsey M.
Wulf, Kelsey M. is an individual health care provider with primary practice located at 4011 Talbot Rd S Ste 300 , Renton WA 98055-5791. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wulf, Kelsey M. can be contacted via phone (425) 656-5060.Contact Information
Primary practice address
4011 Talbot Rd S Ste 300
Renton WA 98055-5791
Phone: (425) 656-5060
Fax: (425) 656-5047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP125640 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60751019 | Washington |
Profile Details
| NPI number | 1235491135 |
|---|---|
| LBN Legal business name | Wulf, Kelsey M. |
| Credentials | RN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2012 |
| Last updated | Nov 2nd, 2017 - about 7 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 | 1235491135 | NPPES |
| Washington | MEDICAID | 2088710 | |
| Washington | MEDICAID | 353299601 | |
| Washington | Other | 379775 |
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