Kelly, Patricia Mary
Kelly, Patricia Mary is an individual health care provider with primary practice located at 1270 Kotnum Road , Warm Springs OR 97761. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Kelly, Patricia Mary can be contacted via phone (541) 553-1196.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Ambulatory Care | 163WP2201X | RN00074801 | Washington |
Profile Details
| NPI number | 1295819076 |
|---|---|
| LBN Legal business name | Kelly, Patricia Mary |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Aug 4th, 2011 - about 15 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 | 1295819076 | NPPES |
| Oregon | MEDICAID | 237855 |
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