Kilpatrick, Kaylon Ann
Kilpatrick, Kaylon Ann is an individual health care provider with primary practice located at 421 S 28Th Ave Ste 110 , Hattiesburg MS 39401-7208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kilpatrick, Kaylon Ann can be contacted via phone (601) 261-3690.Contact Information
Primary practice address
421 S 28Th Ave Ste 110
Hattiesburg MS 39401-7208
Phone: (601) 261-3690
Fax: (601) 261-3684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1316419575 |
|---|---|
| LBN Legal business name | Kilpatrick, Kaylon Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2018 |
| Last updated | Jul 30th, 2020 - about 6 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 | 1316419575 | NPPES |
| Mississippi | MEDICAID | 02754021 |
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