Mashburn, Kaylee Rae

Mashburn, Kaylee Rae is an individual health care provider with primary practice located at 13685 Doctors Way Ste 100 , Fort Myers FL 33912-4337. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mashburn, Kaylee Rae can be contacted via phone (239) 343-1612.

Contact Information

Primary practice address
13685 Doctors Way Ste 100 Fort Myers FL 33912-4337
Phone: (239) 343-1612
Fax: (239) 343-4229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 9117963 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9117963 Florida

Profile Details

NPI number 1821878638
LBN Legal business name Mashburn, Kaylee Rae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2023
Last updated May 29th, 2025 - about last year

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 1821878638 NPPES
Florida MEDICAID 119846700

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