Exama, Kettlyne Kettlyne
Exama, Kettlyne Kettlyne is an sole proprietor health care provider with primary practice located at 11113 Lake Tahoe Dr # 111 , Riverview FL 33569-2927. She recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as her primary health care specialty. Exama, Kettlyne Kettlyne can be contacted via phone (813) 466-9076.Contact Information
Primary practice address
11113 Lake Tahoe Dr # 111
Riverview FL 33569-2927
Phone: (813) 466-9076
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X |
Profile Details
| NPI number | 1710564208 |
|---|---|
| LBN Legal business name | Exama, Kettlyne Kettlyne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2021 |
| Last updated | Mar 29th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710564208 | NPPES |
| Florida | Other | NA | NA |
| Florida | Other | NA | NA |
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