Paulk, Kayla
Paulk, Kayla is an individual health care provider with primary practice located at 1641 Madison Ave , Tifton GA 31794-3757. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Paulk, Kayla can be contacted via phone (229) 353-6188.Contact Information
Primary practice address
1641 Madison Ave
Tifton GA 31794-3757
Phone: (229) 353-6188
Fax: (229) 353-6309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT010714 | Georgia |
Profile Details
| NPI number | 1518383496 |
|---|---|
| LBN Legal business name | Paulk, Kayla |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2014 |
| Last updated | Mar 15th, 2014 - about 10 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 | 1518383496 | NPPES |
| Georgia | Other | PT010714 | LICENSE |
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