Mccandless, Kim
Mccandless, Kim is an individual health care provider with primary practice located at 120 Cypress Edge Dr Ste 101 , Palm Coast FL 32164-8454. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mccandless, Kim can be contacted via phone (386) 586-1670.Contact Information
Primary practice address
120 Cypress Edge Dr Ste 101
Palm Coast FL 32164-8454
Phone: (386) 586-1670
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT34946 | Florida |
Profile Details
NPI number | 1912554304 |
---|---|
LBN Legal business name | Mccandless, Kim |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 21st, 2019 |
Last updated | Apr 16th, 2022 - 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.
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