Wittorf, Kelsey Lee
Wittorf, Kelsey Lee is an individual health care provider with primary practice located at 1026 Woodbury Ave , Council Bluffs IA 51503-7915. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Wittorf, Kelsey Lee can be contacted via phone (712) 201-2289.Contact Information
Primary practice address
1026 Woodbury Ave
Council Bluffs IA 51503-7915
Phone: (712) 201-2289
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DDS-09644 | Iowa |
Profile Details
| NPI number | 1629636121 |
|---|---|
| LBN Legal business name | Wittorf, Kelsey Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2019 |
| Last updated | May 31st, 2019 - about 7 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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