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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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