Ritzel, Kayla Rose

Ritzel, Kayla Rose is an individual health care provider with primary practice located at 3857 Calliope Ave , Port Orange FL 32129-6027. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ritzel, Kayla Rose can be contacted via phone (618) 580-8051.

Contact Information

Primary practice address
3857 Calliope Ave Port Orange FL 32129-6027
Phone: (618) 580-8051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 041.346642 Illinois

Profile Details

NPI number 1619100187
LBN Legal business name Ritzel, Kayla Rose
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2009
Last updated Nov 28th, 2022 - about 2 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 1619100187 NPPES
Illinois Other 041.346642 ILLINOIS STATE LICENSE

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