Kichline, Andrea L

Kichline, Andrea L is an individual health care provider with primary practice located at 985 State Road 436 , Casselberry FL 32707-5664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kichline, Andrea L can be contacted via phone (407) 831-5252.

Contact Information

Primary practice address
985 State Road 436 Casselberry FL 32707-5664
Phone: (407) 831-5252
Fax: (407) 831-3765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9224467 Florida

Profile Details

NPI number 1487969101
LBN Legal business name Kichline, Andrea L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2010
Last updated Mar 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487969101 NPPES
Florida Other ARNP9224467 LICENSE NUMBER
Florida MEDICAID 008895500 LICENSE NUMBER

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