Stallworth, Keoni Rei
Stallworth, Keoni Rei is an sole proprietor health care provider with primary practice located at 1031 W 34Th St Ste 450 , Los Angeles CA 90089-3603. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Stallworth, Keoni Rei can be contacted via phone (213) 740-0215.Contact Information
Primary practice address
1031 W 34Th St Ste 450
Los Angeles CA 90089-3603
Phone: (213) 740-0215
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PENDING | California |
Profile Details
| NPI number | 1154163186 |
|---|---|
| LBN Legal business name | Stallworth, Keoni Rei |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2024 |
| Last updated | Jun 11th, 2024 - about last year |
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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