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
Fax: (509) 874-2113
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033301288 NPPES
Washington MEDICAID 7079361

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