Riccobono, Kellen Ruth
Riccobono, Kellen Ruth is an individual health care provider with primary practice located at 2430 S Ih 35 Ste 106 , San Marcos TX 78666-5912. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Riccobono, Kellen Ruth can be contacted via phone (512) 353-1300.Contact Information
Primary practice address
2430 S Ih 35 Ste 106
San Marcos TX 78666-5912
Phone: (512) 353-1300
Fax: (512) 353-5135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9491TG | Texas |
Profile Details
| NPI number | 1184116097 |
|---|---|
| LBN Legal business name | Riccobono, Kellen Ruth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2018 |
| Last updated | Jun 16th, 2022 - 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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