Shaver, Kayleigh Morgan

Shaver, Kayleigh Morgan is an individual health care provider with primary practice located at 2155 Old Moultrie Rd , St Augustine FL 32086-5102. 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. Shaver, Kayleigh Morgan can be contacted via phone (904) 877-1300.

Contact Information

Primary practice address
2155 Old Moultrie Rd St Augustine FL 32086-5102
Phone: (904) 877-1300
Fax: (904) 506-2005
Website:
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Health care specialties

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

Profile Details

NPI number 1780142166
LBN Legal business name Shaver, Kayleigh Morgan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2019
Last updated Sep 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780142166 NPPES
Florida Other PA9114468 FL PA LICENSE

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