Carroll, Kathy

Carroll, Kathy is an sole proprietor health care provider with primary practice located at 2306 Highway 77 , Panama City FL 32405-4404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family Health, which is considered as her primary health care specialty. Carroll, Kathy can be contacted via phone (850) 763-9744.

Contact Information

Primary practice address
2306 Highway 77 Panama City FL 32405-4404
Phone: (850) 763-9744
Fax: (850) 785-2020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X ARNP2145292 Florida

Profile Details

NPI number 1093146979
LBN Legal business name Carroll, Kathy
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2013
Last updated Dec 3rd, 2013 - about 12 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 1093146979 NPPES
Florida MEDICAID 303682100

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