Dr Kenneth Grant Mittelstadt, DACM, DC, LAC is a
Acupuncturist based in Selma, Texas. Dr Kenneth Grant Mittelstadt is licensed to practice in Texas (license number AC02078) and his current practice location is
8088 Old Austin Rd Unit 2a, Selma, Texas. He can be reached at his office (for appointments etc.) via phone at
(830) 743-9663.
NPI number for Dr Kenneth Grant Mittelstadt is 1659914992 and his current mailing address is 8088 Old Austin Rd Unit 2a, Selma, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659914992.
Healthcare Provider's Profile
Full Name | Dr Kenneth Grant Mittelstadt |
---|
Gender | Male |
---|
Speciality | Acupuncturist |
---|
Location | 8088 Old Austin Rd Unit 2a, Selma, Texas |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659914992
- Provider Enumeration Date: 10/18/2019
- Last Update Date: 11/30/2022
Medical Identifiers
Medical identifiers for Dr Kenneth Grant Mittelstadt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659914992 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 18282 (California) | Secondary |
171100000X | Acupuncturist | AC02078 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Grant Mittelstadt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kenneth Grant Mittelstadt, DACM, DC, LAC 8088 Old Austin Rd Unit 2a, Selma, TX 78154-3377 Ph: (830) 743-9663 | Dr Kenneth Grant Mittelstadt, DACM, DC, LAC 8088 Old Austin Rd Unit 2a, Selma, TX 78154-3377 Ph: (830) 743-9663 |
Reviews and Comments