Ellison, Kayla

Ellison, Kayla is an sole proprietor health care provider with primary practice located at 57 Sedgewick Trl , Palm Coast FL 32164-5431. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Ellison, Kayla can be contacted via phone (386) 338-8760.

Contact Information

Primary practice address
57 Sedgewick Trl Palm Coast FL 32164-5431
Phone: (386) 338-8760
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 230496 Florida

Profile Details

NPI number 1548715980
LBN Legal business name Ellison, Kayla
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2016
Last updated Aug 15th, 2016 - about 9 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 1548715980 NPPES
Florida MEDICAID 626430

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