Head, Kacy Yevonne
Head, Kacy Yevonne is an individual health care provider with primary practice located at 100 Hospital Ln Suite 105, Danville IN 46122-1989. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Head, Kacy Yevonne can be contacted via phone (317) 745-3747.Contact Information
Primary practice address
100 Hospital Ln Suite 105
Danville IN 46122-1989
Phone: (317) 745-3747
Fax: (317) 745-3748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA06217 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10001167A | Indiana |
Profile Details
| NPI number | 1003057951 |
|---|---|
| LBN Legal business name | Head, Kacy Yevonne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2009 |
| Last updated | May 3rd, 2012 - about 14 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 | 1003057951 | NPPES |
| Indiana | Other | 000000736707 | ANTHEM PIN |
| Indiana | Other | 800N55 | ANTHEM PIN |
| Indiana | MEDICAID | 202786401 | ANTHEM PIN |
| Indiana | Other | 1487680518 | ANTHEM PIN |
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