Dietzen, Kelly
Dietzen, Kelly is an sole proprietor health care provider with primary practice located at 1327 Campbell St , Glendale CA 91207-1446. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Dietzen, Kelly can be contacted via phone (323) 240-4024.Contact Information
Primary practice address
1327 Campbell St
Glendale CA 91207-1446
Phone: (323) 240-4024
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 257 | California |
Profile Details
| NPI number | 1760787121 |
|---|---|
| LBN Legal business name | Dietzen, Kelly |
| Credentials | Licensed Midwife (LM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2011 |
| Last updated | Jan 17th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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