Goulbourne, Kristen-Kaye

Goulbourne, Kristen-Kaye is an sole proprietor health care provider with primary practice located at 5153 N 9Th Ave , Pensacola FL 32504-8785. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Goulbourne, Kristen-Kaye can be contacted via phone (850) 416-7710.

Contact Information

Primary practice address
5153 N 9Th Ave Pensacola FL 32504-8785
Phone: (850) 416-7710
Fax: (850) 416-6729
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME146961 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0101262279 Virginia

Profile Details

NPI number 1841602471
LBN Legal business name Goulbourne, Kristen-Kaye
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2014
Last updated Feb 25th, 2021 - about 3 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 1841602471 NPPES
Virginia Other 0101262279 COMMONWEALTH OF VIRGINIA

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