Hislop, Kellie Ann

Hislop, Kellie Ann is an individual health care provider with primary practice located at 510 8Th Ave Ne Ste 340 , Issaquah WA 98029-5449. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Hislop, Kellie Ann can be contacted via phone (425) 313-3051.

Contact Information

Primary practice address
510 8Th Ave Ne Ste 340 Issaquah WA 98029-5449
Phone: (425) 313-3051
Fax: (425) 313-3055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT60514402 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT60514402 Washington

Profile Details

NPI number 1922425123
LBN Legal business name Hislop, Kellie Ann
Credentials OTR/L, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2014
Last updated Nov 13th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922425123 NPPES
Washington MEDICAID 2043476

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