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
Phone: (601) 625-7403
Fax: (601) 625-7404
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730340563 | NPPES |
Mississippi | MEDICAID | 06685060 |
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