Lichty, Katie Koby

Lichty, Katie Koby is an individual health care provider with primary practice located at 48 Cross Park Ct , Greenville SC 29605-4263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lichty, Katie Koby can be contacted via phone (864) 797-7440.

Contact Information

Primary practice address
48 Cross Park Ct Greenville SC 29605-4263
Phone: (864) 797-7440
Fax: (864) 797-7469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18830 South Carolina

Profile Details

NPI number 1811309412
LBN Legal business name Lichty, Katie Koby
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2014
Last updated May 17th, 2023 - about 3 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 1811309412 NPPES
South Carolina MEDICAID NP2811

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