Larsen, Kelly Kristine
Larsen, Kelly Kristine is an individual health care provider with primary practice located at 720 Birchwood Ave , Bellingham WA 98225-1714. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Larsen, Kelly Kristine can be contacted via phone (360) 733-1720.Contact Information
Primary practice address
720 Birchwood Ave
Bellingham WA 98225-1714
Phone: (360) 733-1720
Fax: (360) 733-0109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00003987 | Washington |
Profile Details
| NPI number | 1831134600 |
|---|---|
| LBN Legal business name | Larsen, Kelly Kristine |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jul 31st, 2015 - about 11 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 | 1831134600 | NPPES |
| Washington | MEDICAID | 2031367 |
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