Witfill, Kristin J

Witfill, Kristin J is an individual health care provider with primary practice located at 8220 Us19 North , Port Richey FL 34668. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Witfill, Kristin J can be contacted via phone (727) 841-8505.

Contact Information

Primary practice address
8220 Us19 North Port Richey FL 34668
Fax: (727) 846-0561
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 059398 Florida

Profile Details

NPI number 1396764460
LBN Legal business name Witfill, Kristin J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 14th, 2009 - about 15 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 1396764460 NPPES
Florida MEDICAID 276890900

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