Bankson, Kathie Lillian

Bankson, Kathie Lillian is an individual health care provider with primary practice located at 501 E Plaza Cir Dr Suite A, Litchfield Park AZ 85340-4998. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bankson, Kathie Lillian can be contacted via phone (623) 536-7956.

Contact Information

Primary practice address
501 E Plaza Cir Dr Suite A Litchfield Park AZ 85340-4998
Phone: (623) 536-7956
Fax: (623) 536-9806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP667 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP1979 Arizona

Profile Details

NPI number 1891764296
LBN Legal business name Bankson, Kathie Lillian
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891764296 NPPES
Arizona MEDICAID 729618

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