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Contact Information

KAITLIN K BEETTNER
11675 WELLBORN RD
COLLEGE STATION, TX77845
 Phone: 979-485-8111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KAITLIN K BEETTNER · (Female)

NPI # 1659114247
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2024
Last updated 06/13/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 43065
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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