Kight, Fred Jason

Kight, Fred Jason is an individual health care provider with primary practice located at 1248 Augusta West Pkwy , Augusta GA 30909-1854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kight, Fred Jason can be contacted via phone (706) 863-0500.

Contact Information

Primary practice address
1248 Augusta West Pkwy Augusta GA 30909-1854
Phone: (706) 863-0500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 026572 Georgia

Profile Details

NPI number 1437142072
LBN Legal business name Kight, Fred Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 8th, 2007 - about 19 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 1437142072 NPPES
Georgia MEDICAID 00416446A
Georgia Other 52047422-001

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