Malone, Kelly Marie
Malone, Kelly Marie is an individual health care provider with primary practice located at 884 W Park Ave , Port Townsend WA 98368-2273. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Malone, Kelly Marie can be contacted via phone (360) 385-0321.Contact Information
Primary practice address
884 W Park Ave
Port Townsend WA 98368-2273
Phone: (360) 385-0321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1194800813 |
|---|---|
| LBN Legal business name | Malone, Kelly Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Nov 8th, 2022 - about 4 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 | 1194800813 | NPPES |
| Washington | Other | 1194800813 | CASE MANAGER |
| Washington | Other | 101-YM0800X | CASE MANAGER |
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