Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIESHA E PETTINE
Active Sole ProprietorKIESHA E PETTINE is a Prosthetic/Orthotic Supplier healthcare provider located in ST PETERSBURG, Florida. NPI 1316621717 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · ST PETERSBURG, FL
Registration Details
- NPI Number
- 1316621717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2023 (3.1998240615108 yrs)
- Last Updated
- Jul 9, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
7901 4TH ST N STE 15235ST PETERSBURG, FL, 337024305Browse FL providers · Browse ZIP 33702
- Phone
- 7273044705
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.