Kailikole, Theresa L

Kailikole, Theresa L is an sole proprietor health care provider with primary practice located at 3801 Sacramento St # 621 , San Francisco CA 94118-1625. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Kailikole, Theresa L can be contacted via phone (415) 600-4080.

Contact Information

Primary practice address
3801 Sacramento St # 621 San Francisco CA 94118-1625
Phone: (415) 600-4080
Fax: (415) 600-4005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3612 California

Profile Details

NPI number 1184752974
LBN Legal business name Kailikole, Theresa L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Feb 11th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184752974 NPPES
California MEDICAID 8191323

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