Pettway, Kristofer Kedar

Pettway, Kristofer Kedar is an sole proprietor health care provider with primary practice located at 411 S Normade Ave Apt 732 , Los Angeles CA 90020-3396. He recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as his primary health care specialty. Pettway, Kristofer Kedar can be contacted via phone (516) 919-0061.

Contact Information

Primary practice address
411 S Normade Ave Apt 732 Los Angeles CA 90020-3396
Phone: (516) 919-0061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X 19393832 New York

Profile Details

NPI number 1427783315
LBN Legal business name Pettway, Kristofer Kedar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2022
Last updated Jul 23rd, 2022 - about 4 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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