Southwell, Kay Lynn

Southwell, Kay Lynn is an individual health care provider with primary practice located at 6242 E Arbor Ave Suite 111 , Mesa AZ 85206-2809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Southwell, Kay Lynn can be contacted via phone (480) 610-8183.

Contact Information

Primary practice address
6242 E Arbor Ave Suite 111 Mesa AZ 85206-2809
Phone: (480) 610-8183
Fax: (480) 610-8566
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704216251 Michigan

Profile Details

NPI number 1730320623
LBN Legal business name Southwell, Kay Lynn
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2009
Last updated Jan 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730320623 NPPES
Michigan Other 0B56065 MEDICARE PART B
Michigan Other 0B56065 MEDICARE PART B

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