Pettine, Kiesha E
Pettine, Kiesha E is an sole proprietor health care provider with primary practice located at 7901 4Th St N Ste 15235 , St Petersburg FL 33702-4305. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Pettine, Kiesha E can be contacted via phone (727) 304-4705.Contact Information
Primary practice address
7901 4Th St N Ste 15235
St Petersburg FL 33702-4305
Phone: (727) 304-4705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1316621717 |
|---|---|
| LBN Legal business name | Pettine, Kiesha E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2023 |
| Last updated | Jul 9th, 2023 - about 2 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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