Greenfield, Kathleen A

Greenfield, Kathleen A is an individual health care provider with primary practice located at 11505 Rangeland Pkwy , Bradenton FL 34211-4041. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Greenfield, Kathleen A can be contacted via phone (941) 907-6016.

Contact Information

Primary practice address
11505 Rangeland Pkwy Bradenton FL 34211-4041
Phone: (941) 907-6016
Fax: (941) 729-5267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2662 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2662 Florida

Profile Details

NPI number 1609901594
LBN Legal business name Greenfield, Kathleen A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jan 16th, 2023 - about 2 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 1609901594 NPPES
Florida Other YOE4G BCBS
Florida MEDICAID 011158700 BCBS

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