Healthcare Provider Details

I. General information

NPI: 1386103216
Provider Name (Legal Business Name): KAITLYN LEMES ALBRECHT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAITLYN LEMES DO

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13453 N MAIN ST STE 503
JACKSONVILLE FL
32218-2774
US

IV. Provider business mailing address

3940 GADSDEN RD
JACKSONVILLE FL
32207-6307
US

V. Phone/Fax

Practice location:
  • Phone: 904-491-0177
  • Fax:
Mailing address:
  • Phone: 954-604-0530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOS18671
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: