Hazley, Kerrian A
Hazley, Kerrian A is an individual health care provider with primary practice located at 362 State Highway 83 , Defuniak Springs FL 32433-3800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hazley, Kerrian A can be contacted via phone (850) 892-8015.Contact Information
Primary practice address
362 State Highway 83
Defuniak Springs FL 32433-3800
Phone: (850) 892-8015
Fax: (850) 892-8457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 051502 | Connecticut |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME117182 | Florida |
Profile Details
| NPI number | 1689802993 |
|---|---|
| LBN Legal business name | Hazley, Kerrian A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2009 |
| Last updated | Apr 13th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689802993 | NPPES |
| Florida | MEDICAID | 011940500 |
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