Aultman, Kathi A.
Aultman, Kathi A. is an individual health care provider with primary practice located at 1680 Eagle Harbor Pkwy Suite A, Orange Park FL 32003-4806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Aultman, Kathi A. can be contacted via phone (904) 264-9555.Contact Information
Primary practice address
1680 Eagle Harbor Pkwy Suite A
Orange Park FL 32003-4806
Phone: (904) 264-9555
Fax: (904) 215-7960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | ME32583 | Florida |
Profile Details
| NPI number | 1043270853 |
|---|---|
| LBN Legal business name | Aultman, Kathi A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jul 21st, 2008 - about 17 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 | 1043270853 | NPPES |
| Florida | MEDICAID | 039579000 |
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