Carlson, Kelley
Carlson, Kelley is an individual health care provider with primary practice located at 2141 S 63Rd St , Omaha NE 68106. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Carlson, Kelley can be contacted via phone (402) 551-1811.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 61343 | Kansas |
| Dental Providers / Dentist | 122300000X | RES-1326 | Oklahoma |
| Dental Providers / Dentist | 122300000X | 7292 | Nebraska |
Profile Details
| NPI number | 1528411444 |
|---|---|
| LBN Legal business name | Carlson, Kelley |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2016 |
| Last updated | Aug 21st, 2019 - about 6 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 | 1528411444 | NPPES |
| Oklahoma | MEDICAID | 35-2382039 |
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