Sistrunk, Kaleb

Sistrunk, Kaleb is an individual health care provider with primary practice located at 275 W Cocoa Beach Cswy , Cocoa Beach FL 32931-3529. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Sistrunk, Kaleb can be contacted via phone (321) 799-7777.

Contact Information

Primary practice address
275 W Cocoa Beach Cswy Cocoa Beach FL 32931-3529
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 657432 Florida

Profile Details

NPI number 1447994876
LBN Legal business name Sistrunk, Kaleb
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2022
Last updated Feb 27th, 2023 - about last year

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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