Individual
KYM HOUSEHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
601 5TH ST S STE 707, ST PETERSBURG, FL 33701-4804
(727) 767-2140
Mailing address
601 5TH ST S STE 707, ST PETERSBURG, FL 33701-4804
(727) 767-2140
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP4048
FL
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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