Matheney, Kaitlyn Connor

Matheney, Kaitlyn Connor is an individual health care provider with primary practice located at 5551 Us Highway 98 W , Santa Rosa Beach FL 32459-3566. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Matheney, Kaitlyn Connor can be contacted via phone (205) 565-1232.

Contact Information

Primary practice address
5551 Us Highway 98 W Santa Rosa Beach FL 32459-3566
Phone: (205) 565-1232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28406 Tennessee

Profile Details

NPI number 1689242463
LBN Legal business name Matheney, Kaitlyn Connor
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2021
Last updated Feb 21st, 2023 - about 3 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 1689242463 NPPES
Tennessee MEDICAID 28406

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