Kelley, Karen
Kelley, Karen is an individual health care provider with primary practice located at 401 Buster Rd , Toppenish WA 98948-9792. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kelley, Karen can be contacted via phone (509) 874-2979.Contact Information
Primary practice address
401 Buster Rd
Toppenish WA 98948-9792
Phone: (509) 874-2979
Fax: (509) 874-2113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH02597 | Washington |
Profile Details
| NPI number | 1033301288 |
|---|---|
| LBN Legal business name | Kelley, Karen |
| Credentials | DENTAL HYGENIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Aug 13th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033301288 | NPPES |
| Washington | MEDICAID | 7079361 |
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