1679760136 NPI number — KELLY R COLELLO LMP

Table of content: KELLY R COLELLO LMP (NPI 1679760136)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679760136 NPI number — KELLY R COLELLO LMP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COLELLO
Provider First Name:
KELLY
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WANAMAKER
Provider Other First Name:
KELLY
Provider Other Middle Name:
R
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1679760136
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/27/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17651 1ST AVE. S.
Provider Second Line Business Mailing Address:
STE. #101
Provider Business Mailing Address City Name:
NORMANDY PARK
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98148
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-241-3836
Provider Business Mailing Address Fax Number:
206-241-3967

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17651 1ST AVE. S.
Provider Second Line Business Practice Location Address:
STE. #101
Provider Business Practice Location Address City Name:
NORMANDY PARK
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98148
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-241-3836
Provider Business Practice Location Address Fax Number:
206-241-3967
Provider Enumeration Date:
09/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  MA00019960 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0224172 . This is a "LABOR AND INDUSTRIES" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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