MEDICARE: KELLY SELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	2220	CO

General Provider Information

NPI Number	:	1598391864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY SELL

Provider Business Mailing Address
First Line	:	2510 HEWLETT CT
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98229-5601
Country	:	US
Telephone Number	:	512-665-3713
Fax Number	:

Provider Business Practice Location Address
First Line	:	907 HARRIS AVE STE 203
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-7005
Country	:	US
Telephone Number	:	512-665-3713
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2020
Last Update Date	:	03/26/2021

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Directions to “ KELLY SELL ” Practice Location

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