# PSK MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ally Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538794326
- **Authorized official:** MRS. KRISTIN KAY APRN, FNP-C (OWNER)
- **Authorized official phone:** (352) 888-2783

## Contact information

- **Practice address:** 1140 SW BASCOM NORRIS DR STE 101, LAKE CITY, FL 32025-1329
- **Practice address phone:** (386) 401-9778
- **Mailing address:** 1364 NW 121ST WAY, GAINESVILLE, FL 32606-5274
- **Mailing address phone:** (352) 888-2783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2020
- **Last updated:** 09/22/2021