Koontz, Kailey
Koontz, Kailey is an individual health care provider with primary practice located at 2180 W State Road 434 Ste 1124 , Longwood FL 32779-5008. 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. Koontz, Kailey can be contacted via phone (321) 972-1741.Contact Information
Primary practice address
2180 W State Road 434 Ste 1124
Longwood FL 32779-5008
Phone: (321) 972-1741
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9113974 | Florida |
Profile Details
NPI number | 1477146413 |
---|---|
LBN Legal business name | Koontz, Kailey |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 19th, 2021 |
Last updated | Feb 19th, 2021 - about 4 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.
Popular Providers
-
Purdy, Julianne
555 W State Road 434 , Longwood FL 32750-5119 -
Alstein, Jacob
255 Mounts Bay Ct , Longwood FL 32779-4652 -
Strong, Jennifer Leigh
1451 Dunbrooke Loop , Longwood FL 32779 -
Hudak, Regina Marie
2418 E York St , Philadelphia PA 19125-3006 -
Habib, Laila Nicole
175 W Pine Ave , Longwood FL 32750-4168 -
Schnell, James L
455 W Warren Ave , Longwood FL 32750-4038 -
Mcvey, Connor J
455 W Warren Ave , Longwood FL 32750-4038 -
Corkery, Thomas
2290 N Ronald Reagan Blvd Ste 116 , Longwood FL 32750-3534