Kelly, Maggie Ls
Kelly, Maggie Ls is an individual health care provider with primary practice located at 2400 32Nd Ave S , Fargo ND 58103-5800. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kelly, Maggie Ls can be contacted via phone (701) 234-3640.Contact Information
Primary practice address
2400 32Nd Ave S
Fargo ND 58103-5800
Phone: (701) 234-3640
Fax: (701) 234-8710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2609 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 665 | North Dakota |
Profile Details
| NPI number | 1497944615 |
|---|---|
| LBN Legal business name | Kelly, Maggie Ls |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2007 |
| Last updated | Aug 1st, 2014 - about 12 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 | 1497944615 | NPPES |
| Colorado | Other | 1467405928 | GROUP NPI |
| Colorado | Other | 1497944615 | GROUP NPI |
| Colorado | Other | C806738 | GROUP NPI |
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