Kiernan, L Shultis

Kiernan, L Shultis is an individual health care provider with primary practice located at 3401 Pga Blvd 500B, Palm Beach Gardens FL 33410. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kiernan, L Shultis can be contacted via phone (561) 366-0065.

Contact Information

Primary practice address
3401 Pga Blvd 500B Palm Beach Gardens FL 33410
Fax: (561) 366-0078
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT674 Florida

Profile Details

NPI number 1174611719
LBN Legal business name Kiernan, L Shultis
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 7th, 2008 - about 17 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 1174611719 NPPES
Florida Other Z1322 BLUE CROSS/ BLUE SHIELD
Florida MEDICAID 890472300 BLUE CROSS/ BLUE SHIELD

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