Provider Demographics
NPI:1881044204
Name:LIVINGSTON, KAY (RN)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KAY
Other - Middle Name:LIN
Other - Last Name:HESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7327 LEXINGTON LN
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-7024
Mailing Address - Country:US
Mailing Address - Phone:727-204-5366
Mailing Address - Fax:
Practice Address - Street 1:3030 6TH ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-3720
Practice Address - Country:US
Practice Address - Phone:727-894-8719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1900172163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN1900172OtherFLORIDA BOARD OF NURSING