Chatham, Kristy Lynn

Chatham, Kristy Lynn is an individual health care provider with primary practice located at 9401 Sw Highway 200 Ste 1001 , Ocala FL 34481-9613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Chatham, Kristy Lynn can be contacted via phone (813) 321-1786.

Contact Information

Primary practice address
9401 Sw Highway 200 Ste 1001 Ocala FL 34481-9613
Phone: (813) 321-1786
Fax: (813) 321-1787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102875 Florida

Profile Details

NPI number 1942294269
LBN Legal business name Chatham, Kristy Lynn
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Nov 12th, 2022 - about 3 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 1942294269 NPPES
Florida Other P00251111 SRRGA
Florida MEDICAID 292415300 SRRGA

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