Mackay, Kimberly Diane

Mackay, Kimberly Diane is an sole proprietor health care provider with primary practice located at 655 W 8Th St , Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Mackay, Kimberly Diane can be contacted via phone (904) 244-3508.

Contact Information

Primary practice address
655 W 8Th St Jacksonville FL 32209-6511
Phone: (904) 244-3508
Fax: (904) 244-4301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 683428 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X APRN11030321 Florida

Profile Details

NPI number 1730727314
LBN Legal business name Mackay, Kimberly Diane
Credentials NNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2019
Last updated Jan 30th, 2024 - about 2 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 1730727314 NPPES
Florida Other APRN11030321 FLORIDA APRN LIC

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