Matlock, Kayanna M.
Matlock, Kayanna M. is an individual health care provider with primary practice located at 852 Danenberg Dr , El Centro CA 92243-8517. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Matlock, Kayanna M. can be contacted via phone (760) 352-2257.Contact Information
Primary practice address
852 Danenberg Dr
El Centro CA 92243-8517
Phone: (760) 352-2257
Fax: (760) 352-4579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 59202 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2078 | Nevada |
Profile Details
| NPI number | 1831666338 |
|---|---|
| LBN Legal business name | Matlock, Kayanna M. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2018 |
| Last updated | Jun 8th, 2021 - about 4 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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