Babcock, Kristin Layne
Babcock, Kristin Layne is an individual health care provider with primary practice located at 3515 Broadway Ave , Great Bend KS 67530-3633. 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. Babcock, Kristin Layne can be contacted via phone (620) 792-2511.Contact Information
Primary practice address
3515 Broadway Ave
Great Bend KS 67530-3633
Phone: (620) 792-2511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 15-01423 | Kansas |
Profile Details
| NPI number | 1366752909 |
|---|---|
| LBN Legal business name | Babcock, Kristin Layne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2010 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366752909 | NPPES |
| Kansas | Other | 068002128 | MEDICARE PTAN |
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