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1417383621 NPI number — ALLYSON KIGHT DPT

NPI Number: 1417383621
Health Care Provider/Practitioner: ALLYSON KIGHT DPT

Information about “1417383621” NPI (ALLYSON KIGHT DPT) exists in 1417383621 in HTML format HTML  |  1417383621 in plain Text format TXT  |  1417383621 in PDF (Portable Document Format) PDF  |  1417383621 in an XML format XML  formats.

NPI Number : 1417383621 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417383621",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIGHT",
    "FirstName": "ALLYSON",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COX",
    "OtherFirstName": "ALLYSON",
    "OtherMiddleName": "KIGHT",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "DPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "701 E 3RD AVE UNIT 6",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW SMYRNA BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32169-3104",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "386-957-3902",
    "MailingAddressFaxNumber": "386-232-9761",
    "FirstLinePracticeLocationAddress": "701 E 3RD AVE UNIT 6",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW SMYRNA BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32169-3104",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-957-3902",
    "PracticeLocationAddressFaxNumber": "386-232-9761",
    "EnumerationDate": "09/19/2013",
    "LastUpdateDate": "07/27/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "PT28483",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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