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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548715980 | NPPES |
| Florida | MEDICAID | 626430 |
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