Prichodko, Kaylie Nicole

Prichodko, Kaylie Nicole is an individual health care provider with primary practice located at 1629 Medical Arts Blvd Ste 200 , Anderson IN 46011-3454. 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. Prichodko, Kaylie Nicole can be contacted via phone (765) 298-5439.

Contact Information

Primary practice address
1629 Medical Arts Blvd Ste 200 Anderson IN 46011-3454
Phone: (765) 298-5439
Fax: (765) 298-4920
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006233 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001876A Indiana

Profile Details

NPI number 1851788178
LBN Legal business name Prichodko, Kaylie Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2015
Last updated Sep 13th, 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 1851788178 NPPES
Indiana Other P01512454 MEDICARE RAILROAD PTAN

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