DR. Kenneth Grant Mittelstadt, DACM, DC, L.AC.

NPI #1659914992 in Selma, Texas

Provider Information

NPI Number: 1659914992
Entity Type: Individual
Name: DR. Kenneth Grant Mittelstadt, DACM, DC, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: DACM, DC, L.AC.
Enumeration Date: Oct 18, 2019
Last Updated: Nov 30, 2022

Practice Location

Address: 8088 OLD AUSTIN RD UNIT 2A
City: Selma
State: Texas
ZIP Code: 78154-3377
Phone: (830) 743-9663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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