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Contact Information

KAITLYN R STANLEY
951 CANDLELIGHT BLVD
BROOKSVILLE, FL34601
 Phone: 352-345-8836
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

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

NPI Number 1174344832
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2024
Last updated 01/09/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL Medicaid 125163500
Hospital affiliation(s) Not Available
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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