Combs, Kristen Marie

Combs, Kristen Marie is an individual health care provider with primary practice located at 200 Booth Rd Ste A , Ormond Beach FL 32174-5716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Combs, Kristen Marie can be contacted via phone (386) 523-1212.

Contact Information

Primary practice address
200 Booth Rd Ste A Ormond Beach FL 32174-5716
Phone: (386) 523-1212
Fax: (386) 523-1213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9236482 Florida

Profile Details

NPI number 1396128989
LBN Legal business name Combs, Kristen Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2015
Last updated Jan 17th, 2017 - about 9 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 1396128989 NPPES
Florida MEDICAID 015792900

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