Johnston, Kaitlyn

Johnston, Kaitlyn is an individual health care provider with primary practice located at 510 S. Washington St , Bastrop LA 71220-4043. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnston, Kaitlyn can be contacted via phone (318) 556-3333.

Contact Information

Primary practice address
510 S. Washington St Bastrop LA 71220-4043
Phone: (318) 556-3333
Fax: (318) 450-3576
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 207579 Louisiana

Profile Details

NPI number 1619518693
LBN Legal business name Johnston, Kaitlyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2019
Last updated Oct 1st, 2019 - about 7 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 1619518693 NPPES
Louisiana Other 207579 CERTIFIED NURSE PRACTITIONER

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