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
Phone: (228) 809-5419
Fax: (228) 809-5076
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366083040 | NPPES |
| Mississippi | MEDICAID | 01327701 |
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