Luckock, Kaitlyn
Luckock, Kaitlyn is an individual health care provider with primary practice located at 2080 Child St , Jacksonville FL 32214-5005. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Luckock, Kaitlyn can be contacted via phone (904) 542-4677.Contact Information
Primary practice address
2080 Child St
Jacksonville FL 32214-5005
Phone: (904) 542-4677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1588352215 |
|---|---|
| LBN Legal business name | Luckock, Kaitlyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2023 |
| Last updated | Apr 8th, 2024 - about last year |
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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