Gooden, Kayla Simone

Gooden, Kayla Simone is an sole proprietor health care provider with primary practice located at 7418 Braeridge Way , Sacramento CA 95831-4004. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Gooden, Kayla Simone can be contacted via phone (916) 402-6211.

Contact Information

Primary practice address
7418 Braeridge Way Sacramento CA 95831-4004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1437798188
LBN Legal business name Gooden, Kayla Simone
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2019
Last updated Jan 12th, 2020 - about 4 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 1437798188 NPPES
California Other 1437798188 NEMT

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