Peacock, Kacie Marie
Peacock, Kacie Marie is an individual health care provider with primary practice located at 4440 Highway 5 , Plummer ID 83851-9681. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Peacock, Kacie Marie can be contacted via phone (559) 859-3168.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN61343748 | Washington |
| Nursing Service Providers / Registered Nurse | 163W00000X | 758195 | California |
| Nursing Service Providers / Registered Nurse | 163W00000X | 69205 | Idaho |
Profile Details
| NPI number | 1083313159 |
|---|---|
| LBN Legal business name | Peacock, Kacie Marie |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2023 |
| Last updated | Feb 28th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083313159 | NPPES |
| California | Other | 758195 | NA |
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