Matheney, Kaitlyn Connor
Matheney, Kaitlyn Connor is an individual health care provider with primary practice located at 5551 Us Highway 98 W , Santa Rosa Beach FL 32459-3566. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Matheney, Kaitlyn Connor can be contacted via phone (205) 565-1232.Contact Information
Primary practice address
5551 Us Highway 98 W
Santa Rosa Beach FL 32459-3566
Phone: (205) 565-1232
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 28406 | Tennessee |
Profile Details
NPI number | 1689242463 |
---|---|
LBN Legal business name | Matheney, Kaitlyn Connor |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2021 |
Last updated | Feb 21st, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689242463 | NPPES |
Tennessee | MEDICAID | 28406 |
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