Redenius, Kaitlyn M

Redenius, Kaitlyn M is an individual health care provider with primary practice located at 1528 Del Prado Blvd S , Cape Coral FL 33990-3798. 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. Redenius, Kaitlyn M can be contacted via phone (239) 458-3338.

Contact Information

Primary practice address
1528 Del Prado Blvd S Cape Coral FL 33990-3798
Phone: (239) 458-3338
Fax: (239) 458-0666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9110119 Florida

Profile Details

NPI number 1255872958
LBN Legal business name Redenius, Kaitlyn M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2017
Last updated Jan 17th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255872958 NPPES
Florida MEDICAID 020904500
Florida Other PA9110119

Popular Providers