Gonzales, Kathie Ann

Gonzales, Kathie Ann is an individual health care provider with primary practice located at 24945 Us Highway 19 N , Clearwater FL 33763-3927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gonzales, Kathie Ann can be contacted via phone (727) 726-1460.

Contact Information

Primary practice address
24945 Us Highway 19 N Clearwater FL 33763-3927
Phone: (727) 726-1460
Fax: (727) 724-9705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3383662 Florida

Profile Details

NPI number 1073589214
LBN Legal business name Gonzales, Kathie Ann
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Dec 11th, 2012 - about 12 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 1073589214 NPPES
Florida Other Y087M BCBSF
Florida MEDICAID 3073238 00 BCBSF

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