Bouchard, Kelly Marie

Bouchard, Kelly Marie is an individual health care provider with primary practice located at 103 Van Deene Ave , West Springfield MA 01089-3200. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bouchard, Kelly Marie can be contacted via phone (413) 733-3019.

Contact Information

Primary practice address
103 Van Deene Ave West Springfield MA 01089-3200
Phone: (413) 733-3019
Fax: (413) 788-7387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20552 Massachusetts

Profile Details

NPI number 1316105307
LBN Legal business name Bouchard, Kelly Marie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated May 28th, 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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