Powell, Kayti A

Powell, Kayti A is an sole proprietor health care provider with primary practice located at 1488 Hwy 487 East , Sebastopol MS 39359-0150. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Powell, Kayti A can be contacted via phone (601) 625-7403.

Contact Information

Primary practice address
1488 Hwy 487 East Sebastopol MS 39359-0150
Fax: (601) 625-7404
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R864059 Mississippi

Profile Details

NPI number 1730340563
LBN Legal business name Powell, Kayti A
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2008
Last updated Apr 12th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730340563 NPPES
Mississippi MEDICAID 06685060

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