Kennah, Paola Jetzabella
Kennah, Paola Jetzabella is an individual health care provider with primary practice located at 2349 Village Square Pkwy Ste 110-111 , Fleming Island FL 32003-6355. 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. Kennah, Paola Jetzabella can be contacted via phone (904) 385-2023.Contact Information
Primary practice address
2349 Village Square Pkwy Ste 110-111
Fleming Island FL 32003-6355
Phone: (904) 385-2023
Fax: (904) 385-2454
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9117136 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 139211 | Alaska |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9117136 | Florida |
Profile Details
NPI number | 1972030765 |
---|---|
LBN Legal business name | Kennah, Paola Jetzabella |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2017 |
Last updated | Jul 27th, 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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