Kallestad, Heidi Ruth

Kallestad, Heidi Ruth is an individual health care provider with primary practice located at 3050 Regent Blvd Ste 400 , Irving TX 75063-5808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kallestad, Heidi Ruth can be contacted via phone (214) 689-8067.

Contact Information

Primary practice address
3050 Regent Blvd Ste 400 Irving TX 75063-5808
Phone: (214) 689-8067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 23483-A Idaho

Profile Details

NPI number 1457635633
LBN Legal business name Kallestad, Heidi Ruth
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2011
Last updated Oct 5th, 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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