Kycey, John Frederick

Kycey, John Frederick is an sole proprietor health care provider with primary practice located at 2434 S Playa , Mesa AZ 85202-6925. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kycey, John Frederick can be contacted via phone (480) 730-6329.

Contact Information

Primary practice address
2434 S Playa Mesa AZ 85202-6925
Phone: (480) 730-6329
Fax: (480) 730-0178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP1931182 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN065393 Arizona

Profile Details

NPI number 1952372328
LBN Legal business name Kycey, John Frederick
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2006
Last updated Aug 31st, 2012 - about 12 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 1952372328 NPPES
Florida MEDICAID 305510800

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