Klott, Kacie Alexandra

Klott, Kacie Alexandra is an individual health care provider with primary practice located at 307 Boatner Road Suite 114, Eglin Afb FL 32542-1282. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Klott, Kacie Alexandra can be contacted via phone (850) 883-8655.

Contact Information

Primary practice address
307 Boatner Road Suite 114 Eglin Afb FL 32542-1282
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1902506959
LBN Legal business name Klott, Kacie Alexandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2023
Last updated Aug 23rd, 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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