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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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