Land, Kathryn M

Land, Kathryn M is an individual health care provider with primary practice located at 212 W Highway 98 Ste C , Port St Joe FL 32456-1301. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Land, Kathryn M can be contacted via phone (850) 705-1766.

Contact Information

Primary practice address
212 W Highway 98 Ste C Port St Joe FL 32456-1301
Phone: (850) 705-1766
Fax: (850) 705-1767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 2801262 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP2801262 Florida

Profile Details

NPI number 1518102029
LBN Legal business name Land, Kathryn M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2008
Last updated Jan 27th, 2020 - about 6 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 1518102029 NPPES
Florida MEDICAID 1518102029

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