Eversole, Kristen Sussanne

Eversole, Kristen Sussanne is an individual health care provider with primary practice located at 1324 Lakeland Hills Blvd , Lakeland FL 33805-4543. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Eversole, Kristen Sussanne can be contacted via phone (863) 687-1132.

Contact Information

Primary practice address
1324 Lakeland Hills Blvd Lakeland FL 33805-4543
Phone: (863) 687-1132
Fax: (863) 687-1439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103496 Florida

Profile Details

NPI number 1811910243
LBN Legal business name Eversole, Kristen Sussanne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Feb 19th, 2015 - 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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