Kelm, Tamara
Kelm, Tamara is an individual health care provider with primary practice located at 1208 Ih 35 N Ste Q , Round Rock TX 78681-4204. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Kelm, Tamara can be contacted via phone (512) 310-7665.Contact Information
Primary practice address
1208 Ih 35 N Ste Q
Round Rock TX 78681-4204
Phone: (512) 310-7665
Fax: (512) 310-9228
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | Texas |
Profile Details
NPI number | 1942517966 |
---|---|
LBN Legal business name | Kelm, Tamara |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 13th, 2010 |
Last updated | Sep 13th, 2010 - about 15 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 | 1942517966 | NPPES |
Other | 74-2745294 | TAX ID | |
Other | 0031DG | TAX ID | |
MEDICAID | 0944746-02 | TAX ID |
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