Khorran, Kavita
Khorran, Kavita is an individual health care provider with primary practice located at 1010 N Church Ave , Mulberry FL 33860-2040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Khorran, Kavita can be contacted via phone (866) 234-8534.Contact Information
Primary practice address
1010 N Church Ave
Mulberry FL 33860-2040
Phone: (866) 234-8534
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Florida |
Profile Details
| NPI number | 1366122343 |
|---|---|
| LBN Legal business name | Khorran, Kavita |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2023 |
| Last updated | May 8th, 2026 - about 5 months 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 | 1366122343 | NPPES |
| Florida | MEDICAID | 119439000 |
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