Proctor, Kacie Miranda

Proctor, Kacie Miranda is an sole proprietor health care provider with primary practice located at 304 Turner Mccall Blvd Sw , Rome GA 30165-5621. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Proctor, Kacie Miranda can be contacted via phone (706) 509-5000.

Contact Information

Primary practice address
304 Turner Mccall Blvd Sw Rome GA 30165-5621
Phone: (706) 509-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X RN230749 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN230749 Georgia

Profile Details

NPI number 1558804971
LBN Legal business name Proctor, Kacie Miranda
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2016
Last updated Apr 12th, 2017 - about 9 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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