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Contact Information

KAITLYN R SPRAGUE, PA
560 VILLAGE BLVD SUITE #150
WEST PALM BEACH, FL33409
 Phone: 561-331-8800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KAITLYN R SPRAGUE · (Female)

NPI Number 1073009353
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/10/2018
Last updated 12/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PA9111136
Hospital affiliation(s)
  • ST MARY'S MEDICAL CENTER - (Acute Care)
    901 45TH ST
    WEST PALM BEACH, FL 33407
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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