Abadia, Kaitlyn Churchman

Abadia, Kaitlyn Churchman is an individual health care provider with primary practice located at 919 Sow Building 3021 , Duke Field FL 32539. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Abadia, Kaitlyn Churchman can be contacted via phone (850) 882-8328.

Contact Information

Primary practice address
919 Sow Building 3021 Duke Field FL 32539
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11396 Florida

Profile Details

NPI number 1013499664
LBN Legal business name Abadia, Kaitlyn Churchman
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2018
Last updated Jul 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013499664 NPPES
Florida MEDICAID 103457600

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