Prentice, Kelley Thomason

Prentice, Kelley Thomason is an individual health care provider with primary practice located at 3208 Chiquita Blvd S Ste 110 , Cape Coral FL 33914-4267. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Prentice, Kelley Thomason can be contacted via phone (239) 574-8463.

Contact Information

Primary practice address
3208 Chiquita Blvd S Ste 110 Cape Coral FL 33914-4267
Phone: (239) 574-8463
Fax: (239) 574-8491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 9220789 Florida

Profile Details

NPI number 1821206566
LBN Legal business name Prentice, Kelley Thomason
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jan 11th, 2023 - about last year

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 1821206566 NPPES
Florida MEDICAID 004202100

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