Richburg, Kyla Austin

Richburg, Kyla Austin is an individual health care provider with primary practice located at 2809 Denny Ave , Pascagoula MS 39581-5300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Richburg, Kyla Austin can be contacted via phone (228) 809-5419.

Contact Information

Primary practice address
2809 Denny Ave Pascagoula MS 39581-5300
Fax: (228) 809-5076
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 903598 Mississippi

Profile Details

NPI number 1366083040
LBN Legal business name Richburg, Kyla Austin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2019
Last updated Mar 11th, 2020 - about 6 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 1366083040 NPPES
Mississippi MEDICAID 01327701

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