Sandlin, Keiva Sumner
Sandlin, Keiva Sumner is an sole proprietor health care provider with primary practice located at 100 Airport Rd Fl 5 , Kinston NC 28501-1604. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Sandlin, Keiva Sumner can be contacted via phone (252) 775-5920.Contact Information
Primary practice address
100 Airport Rd Fl 5
Kinston NC 28501-1604
Phone: (252) 775-5920
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 5007738 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 5007738 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 5007738 | North Carolina |
Profile Details
NPI number | 1114300464 |
---|---|
LBN Legal business name | Sandlin, Keiva Sumner |
Credentials | AGPCNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 6th, 2015 |
Last updated | Jun 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114300464 | NPPES |
North Carolina | MEDICAID | 56-1209062 |
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