Provider Demographics
NPI:1164007191
Name:SAULSBURY, KAITLYN (LVN)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:SAULSBURY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 PAMELA LN
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-0529
Mailing Address - Country:US
Mailing Address - Phone:903-556-7795
Mailing Address - Fax:
Practice Address - Street 1:515 PAMELA LN
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-0529
Practice Address - Country:US
Practice Address - Phone:903-556-7795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1031282164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse