Evans, Kathleen

Evans, Kathleen is an individual health care provider with primary practice located at 95 Bulldog Blvd Ste 101, Melbourne FL 32901-3332. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Evans, Kathleen can be contacted via phone (321) 722-9731.

Contact Information

Primary practice address
95 Bulldog Blvd Ste 101 Melbourne FL 32901-3332
Phone: (321) 722-9731
Fax: (321) 308-0496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X ND970 Florida

Profile Details

NPI number 1508880865
LBN Legal business name Evans, Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 6th, 2012 - about 13 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 1508880865 NPPES
Other 0991-0187 NATIONAL CERT BOARD FOR DIABETES EDUCATORS
Other ND970 NATIONAL CERT BOARD FOR DIABETES EDUCATORS

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