Absalom, Kaci
Absalom, Kaci is an individual health care provider with primary practice located at 5009 Riverchase Dr Ste 500 , Phenix City AL 36867-7490. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Absalom, Kaci can be contacted via phone (334) 448-9505.Contact Information
Primary practice address
5009 Riverchase Dr Ste 500
Phenix City AL 36867-7490
Phone: (334) 448-9505
Fax: (334) 448-9575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN177275 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-111962 | Alabama |
Profile Details
| NPI number | 1639414188 |
|---|---|
| LBN Legal business name | Absalom, Kaci |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2012 |
| Last updated | Feb 14th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639414188 | NPPES |
| Georgia | MEDICAID | 003138582 | |
| Georgia | MEDICAID | 167806 |
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