Light, Katherine Eileen

Light, Katherine Eileen is an individual health care provider with primary practice located at 150 Clearwater Largo Rd N Suite 2, Largo FL 33770-2388. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Light, Katherine Eileen can be contacted via phone (727) 518-0822.

Contact Information

Primary practice address
150 Clearwater Largo Rd N Suite 2 Largo FL 33770-2388
Phone: (727) 518-0822
Fax: (727) 518-6511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP579222 Florida

Profile Details

NPI number 1144319450
LBN Legal business name Light, Katherine Eileen
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 31st, 2012 - about 14 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 1144319450 NPPES
Florida MEDICAID 304724500

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