Ekman, Kacey M

Ekman, Kacey M is an individual health care provider with primary practice located at 1680 S 20Th Ave , Safford AZ 85546-4011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ekman, Kacey M can be contacted via phone (928) 428-1377.

Contact Information

Primary practice address
1680 S 20Th Ave Safford AZ 85546-4011
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP2760 Arizona

Profile Details

NPI number 1679773287
LBN Legal business name Ekman, Kacey M
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2007
Last updated Jun 26th, 2014 - about 11 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 1679773287 NPPES
Arizona MEDICAID 778563

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