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Contact Information

KELLY M MAYCUMBER, LRCP
1501 FRASER ST
BLDG M-106
BELLINGHAM, WA98229-9822
 Phone: 360-946-2828
 Fax: 360-249-9787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Care

2278H0200X
Indicates primary specialty

NPI Profile & details for KELLY M MAYCUMBER · (Female)

NPI # 1609498500
Status Active
Credentials LRCP
Entity Individual
Enumeration date 05/13/2020
Last updated 02/17/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # LR00003315
Hospital affiliation(s) Not Available
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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