Kuettel, Kevin D

Kuettel, Kevin D is an individual health care provider with primary practice located at 1211 W La Palma Ave Ste 306, Anaheim CA 92801-2811. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kuettel, Kevin D can be contacted via phone (714) 778-1300.

Contact Information

Primary practice address
1211 W La Palma Ave Ste 306 Anaheim CA 92801-2811
Phone: (714) 778-1300
Fax: (714) 778-0303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A44004 California

Profile Details

NPI number 1740286384
LBN Legal business name Kuettel, Kevin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Feb 12th, 2008 - about 16 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 1740286384 NPPES
California MEDICAID ZZZ82646Z

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