Kelly, Scott M

Kelly, Scott M is an individual health care provider with primary practice located at 1229 Madison St Suite 1440, Seattle WA 98104-3586. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kelly, Scott M can be contacted via phone (206) 625-0578.

Contact Information

Primary practice address
1229 Madison St Suite 1440 Seattle WA 98104-3586
Phone: (206) 625-0578
Fax: (206) 625-9184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00023241 Washington

Profile Details

NPI number 1215088406
LBN Legal business name Kelly, Scott M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Dec 15th, 2008 - about 18 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 1215088406 NPPES
Other CD5550 RAILROAD
MEDICAID 1041227 RAILROAD
Other 050035909 RAILROAD

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