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Contact Information

YVONNE P KETTERING, LAC
8701 SHOAL CREEK BLVD
SUITE 302
AUSTIN, TX78757-6864
 Phone: 512-801-2453
 Fax: 512-420-8573
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for YVONNE P KETTERING · (Female)

NPI # 1629374301
Status Active
Credentials LAC
Entity Individual
Enumeration date 01/28/2011
Last updated 07/01/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # MT107098
  • TX License # TXAC00847
  • TX Medicaid 0944746-02
  • TX Other 0031DG BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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