Individual
DR. CHERYL ANN KELLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 752-5282
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 738-2200
(360) 752-5282
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60054703
WA
207VG0400X
Gynecology Physician
A397180
CA
207VX0000X
Obstetrics Physician
A397180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A397180
—
CA
01
—
0244019
L&I AND CRIME VICTIMS
WA
05
—
1801871108
—
WA
01
—
4055951
AETNA
WA
01
—
6776KE
REGENCE
WA
Enumeration date
12/08/2005
Last updated
09/20/2010
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