Koontz, Kailey

Koontz, Kailey is an individual health care provider with primary practice located at 2180 W State Road 434 Ste 1124 , Longwood FL 32779-5008. 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. Koontz, Kailey can be contacted via phone (321) 972-1741.

Contact Information

Primary practice address
2180 W State Road 434 Ste 1124 Longwood FL 32779-5008
Phone: (321) 972-1741
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9113974 Florida

Profile Details

NPI number 1477146413
LBN Legal business name Koontz, Kailey
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2021
Last updated Feb 19th, 2021 - about 5 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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