Elsass, Kaycie Lynn

Elsass, Kaycie Lynn is an sole proprietor health care provider with primary practice located at 35325 Date Palm Dr Ste 153F , Cathedral City CA 92234-7086. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Elsass, Kaycie Lynn can be contacted via phone (937) 507-5816.

Contact Information

Primary practice address
35325 Date Palm Dr Ste 153F Cathedral City CA 92234-7086
Phone: (937) 507-5816
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X L9698 California

Profile Details

NPI number 1285377192
LBN Legal business name Elsass, Kaycie Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2022
Last updated Aug 8th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285377192 NPPES
California Other Z126827 DEPARTMENT OF CONSUMER AFFAIRS/ ESTHETICIAN
California Other L9698 DEPARTMENT OF CONSUMER AFFAIRS/ ESTHETICIAN

Popular Providers