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NPI Lookup from the NPI Registry — National Provider Identifier Database

KELLY A DALE, NP – NPI #1245420074
Family


Contact Information

KELLY A DALE, NP
2825 E BARNETT RD
MEDFORD, OR97504-8332
 Phone: 541-789-7000
 Fax: 503-220-3929
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Family

363LF0000X
Indicates primary specialty
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NPI Information for KELLY A DALE · (Female)

NPI Number 1245420074
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/27/2007
Last updated 09/09/2013 - More than a year ago
Sole proprietor 1 No
Identifiers
CA License # RN665150
OR License # 200850060
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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