Stafford, Kassie
Stafford, Kassie is an individual health care provider with primary practice located at 11295 E Taylor Rd , Gulfport MS 39503-4197. 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. Stafford, Kassie can be contacted via phone (228) 864-3300.Contact Information
Primary practice address
11295 E Taylor Rd
Gulfport MS 39503-4197
Phone: (228) 864-3300
Fax: (228) 864-3333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.200296 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00128 | Mississippi |
Profile Details
| NPI number | 1245567775 |
|---|---|
| LBN Legal business name | Stafford, Kassie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2009 |
| Last updated | May 6th, 2020 - about 4 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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