Matisco, Kalynn Brown
Matisco, Kalynn Brown is an individual health care provider with primary practice located at 6717 Nw 11Th Pl Ste B , Gainesville FL 32605-4233. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Matisco, Kalynn Brown can be contacted via phone (352) 505-0255.Contact Information
Primary practice address
6717 Nw 11Th Pl Ste B
Gainesville FL 32605-4233
Phone: (352) 505-0255
Fax: (352) 505-0997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | ARNP1068572 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 1068572 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 1068572 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1068572 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN1068572 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 364SC0200X | 1068572 | Florida |
Profile Details
| NPI number | 1952362212 |
|---|---|
| LBN Legal business name | Matisco, Kalynn Brown |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Dec 12th, 2018 - about 7 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 | 1952362212 | NPPES |
| Florida | MEDICAID | 305534500 | |
| Florida | MEDICAID | 302561600 |
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