Kypta, Jackie M

Kypta, Jackie M is an sole proprietor health care provider with primary practice located at 2050 E Chisholm Trl , Flagstaff AZ 86001-9328. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Kypta, Jackie M can be contacted via phone (928) 714-9379.

Contact Information

Primary practice address
2050 E Chisholm Trl Flagstaff AZ 86001-9328
Phone: (928) 714-9379
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN105443 Arizona

Profile Details

NPI number 1639461445
LBN Legal business name Kypta, Jackie M
Credentials RNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2011
Last updated May 11th, 2011 - about 13 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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