Hoffmann, Kelly

Hoffmann, Kelly is an individual health care provider with primary practice located at 4545 Cordata Pkwy , Bellingham WA 98226-7123. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hoffmann, Kelly can be contacted via phone (360) 738-2200.

Contact Information

Primary practice address
4545 Cordata Pkwy Bellingham WA 98226-7123
Fax: (360) 752-5686
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00045128 Washington

Profile Details

NPI number 1871584664
LBN Legal business name Hoffmann, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Sep 30th, 2010 - about 16 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 1871584664 NPPES
Washington Other 0230047 L&I AND CRIME VICTIMS
Washington MEDICAID 1871584664 L&I AND CRIME VICTIMS
Washington Other 6928HO L&I AND CRIME VICTIMS
Washington Other 77369669 L&I AND CRIME VICTIMS

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