Huerra, Kelly B
Huerra, Kelly B is an individual health care provider with primary practice located at 228 Saint George St , Gonzales TX 78629-3910. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Huerra, Kelly B can be contacted via phone (830) 672-6511.Contact Information
Primary practice address
228 Saint George St
Gonzales TX 78629-3910
Phone: (830) 672-6511
Fax: (830) 672-6430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 13024 | Texas |
Profile Details
| NPI number | 1518168970 |
|---|---|
| LBN Legal business name | Huerra, Kelly B |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1518168970 | NPPES |
| Texas | Other | 13024 | DENTAL ASSISTANT LICENSE |
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