Lackey, Kaitlin
Lackey, Kaitlin is an individual health care provider with primary practice located at 105 Glendalough Court Suite H, Tyrone GA 30290. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Lackey, Kaitlin can be contacted via phone (678) 632-6765.Contact Information
Primary practice address
105 Glendalough Court Suite H
Tyrone GA 30290
Phone: (678) 632-6765
Fax: (678) 550-7931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT006357 | Georgia |
Profile Details
| NPI number | 1407215361 |
|---|---|
| LBN Legal business name | Lackey, Kaitlin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2016 |
| Last updated | Feb 19th, 2016 - about 8 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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