Kettering, Yvonne Perez
Kettering, Yvonne Perez is an sole proprietor health care provider with primary practice located at 8701 Shoal Creek Blvd Suite 302, Austin TX 78757-6864. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Mechanotherapist. Other Service Providers / Acupuncturist is her primary health care specialty. Kettering, Yvonne Perez can be contacted via phone (512) 801-2453.Contact Information
Primary practice address
8701 Shoal Creek Blvd Suite 302
Austin TX 78757-6864
Phone: (512) 801-2453
Fax: (512) 420-8573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | TXAC00847 | Texas |
| Other Service Providers / Mechanotherapist | 172M00000X | MT107098 | Texas |
Profile Details
| NPI number | 1629374301 |
|---|---|
| LBN Legal business name | Kettering, Yvonne Perez |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2011 |
| Last updated | Jul 1st, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629374301 | NPPES |
| Texas | Other | 0031DG | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 0944746-02 | BLUE CROSS BLUE SHIELD |
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