Kitelynn, Stephanie Miller

Kitelynn, Stephanie Miller is an sole proprietor health care provider with primary practice located at 801 6Th St S , St Petersburg FL 33701-4816. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kitelynn, Stephanie Miller can be contacted via phone (727) 767-4257.

Contact Information

Primary practice address
801 6Th St S St Petersburg FL 33701-4816
Phone: (727) 767-4257
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT9746 Florida

Profile Details

NPI number 1780720631
LBN Legal business name Kitelynn, Stephanie Miller
Credentials MSOTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 17 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 1780720631 NPPES
Florida MEDICAID 890170800

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