Individual
DR. KENNETH GRANT MITTELSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DACM, DC, L.AC.
Contact information
Practice address
8088 OLD AUSTIN RD UNIT 2A, SELMA, TX 78154-3377
(830) 743-9663
Mailing address
8088 OLD AUSTIN RD UNIT 2A, SELMA, TX 78154-3377
(830) 743-9663
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
18282
CA
171100000X
Acupuncturist
Primary
AC02078
TX
Other
Enumeration date
10/18/2019
Last updated
11/30/2022
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