Mcmackin, Kaitlyn Jolena

Mcmackin, Kaitlyn Jolena is an individual health care provider with primary practice located at 1124 Oakleigh Rd , Ocean Springs MS 39564-5716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcmackin, Kaitlyn Jolena can be contacted via phone (228) 875-3778.

Contact Information

Primary practice address
1124 Oakleigh Rd Ocean Springs MS 39564-5716
Phone: (228) 875-3778
Fax: (228) 875-9335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10002621A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00439 Mississippi

Profile Details

NPI number 1487124020
LBN Legal business name Mcmackin, Kaitlyn Jolena
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2018
Last updated Dec 30th, 2022 - about 4 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 1487124020 NPPES
Mississippi MEDICAID 005382709

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