Stanley, Katherine K

Stanley, Katherine K is an individual health care provider with primary practice located at 1900 Summit Blvd , Pensacola FL 32503-3359. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Stanley, Katherine K can be contacted via phone (850) 436-5900.

Contact Information

Primary practice address
1900 Summit Blvd Pensacola FL 32503-3359
Phone: (850) 436-5900
Fax: (850) 436-5959
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP1269722 Florida

Profile Details

NPI number 1093791550
LBN Legal business name Stanley, Katherine K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jan 5th, 2014 - about 12 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 1093791550 NPPES
Florida MEDICAID 302160200
Florida Other Y6580

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