Organization
PSK MANAGEMENT LLC
Active
Other names
Ally Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN KAY APRN, FNP-C (OWNER)
(352) 888-2783
Entity
Organization
Contact information
Practice address
1140 SW BASCOM NORRIS DR STE 101, LAKE CITY, FL 32025-1329
(386) 401-9778
Mailing address
1364 NW 121ST WAY, GAINESVILLE, FL 32606-5274
(352) 888-2783
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
09/22/2021
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