Bellemore, Kathy J.

Bellemore, Kathy J. is an individual health care provider with primary practice located at 4062 W Royal Dr , Traverse City MI 49684-8965. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bellemore, Kathy J. can be contacted via phone (231) 935-0338.

Contact Information

Primary practice address
4062 W Royal Dr Traverse City MI 49684-8965
Phone: (231) 935-0338
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704172326 Michigan

Profile Details

NPI number 1447443635
LBN Legal business name Bellemore, Kathy J.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2007
Last updated Jan 11th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447443635 NPPES
Michigan Other 5008707120 BCBS PIN NUMBER

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