Sisk, Kitty Bonita

Sisk, Kitty Bonita is an individual health care provider with primary practice located at 2402 Osler Ct , Albany GA 31707-0205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sisk, Kitty Bonita can be contacted via phone (229) 438-3300.

Contact Information

Primary practice address
2402 Osler Ct Albany GA 31707-0205
Phone: (229) 438-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2198 Georgia

Profile Details

NPI number 1295885762
LBN Legal business name Sisk, Kitty Bonita
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jun 7th, 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 1295885762 NPPES
Georgia MEDICAID 0100001200A
Georgia Other 970020094

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