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
Fax: (512) 310-9228
Website:

Health care specialties

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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942517966 NPPES
Other 74-2745294 TAX ID
Other 0031DG TAX ID
MEDICAID 0944746-02 TAX ID

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