Individual
MAUREEN KELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PC
Contact information
Practice address
3015 SQUALICUM PKWY, #280, BELLINGHAM, WA 98225-1945
(360) 671-2425
(360) 671-1470
Mailing address
3015 SQUALICUM PKWY, #280, BELLINGHAM, WA 98225-1945
(360) 671-2425
(360) 671-1470
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00029033
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1071497
—
WA
Enumeration date
12/07/2005
Last updated
10/03/2007
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