Kitchens, Carly Elizabeth

Kitchens, Carly Elizabeth is an sole proprietor health care provider with primary practice located at 2500 E Hallandale Beach Blvd Suite Ph2, Hallandale Beach FL 33009-4834. 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. Kitchens, Carly Elizabeth can be contacted via phone (954) 456-6500.

Contact Information

Primary practice address
2500 E Hallandale Beach Blvd Suite Ph2 Hallandale Beach FL 33009-4834
Phone: (954) 456-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107089 Florida

Profile Details

NPI number 1467793133
LBN Legal business name Kitchens, Carly Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2013
Last updated Dec 14th, 2016 - about 8 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 1467793133 NPPES
Florida Other 4807363 AETNA
Florida Other PA9107089 AETNA
Florida Other P965151 AETNA
Florida Other P01467310 AETNA
Florida Other Y0QL1 AETNA
Florida Other P1027784 AETNA
Florida Other 1228580 AETNA
Florida Other 4601154 AETNA
Florida Other 398644 AETNA

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