Cotton, Keisha D.

Cotton, Keisha D. is an individual health care provider with primary practice located at 1730 Shadowood Ln Ste 360 , Jacksonville FL 32207-1133. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Cotton, Keisha D. can be contacted via phone (904) 379-1392.

Contact Information

Primary practice address
1730 Shadowood Ln Ste 360 Jacksonville FL 32207-1133
Phone: (904) 379-1392
Fax: (904) 647-1936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1447279187
LBN Legal business name Cotton, Keisha D.
Credentials MSCJ
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Mar 27th, 2019 - about 5 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 1447279187 NPPES
Florida MEDICAID 760018600

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