PSK MANAGEMENT LLC NPI 1538794326

NPI Information

  • NPI: 1538794326
  • Provider Name: PSK MANAGEMENT LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: ALLY FAMILY MEDICINE
  • Address: 1140 SW BASCOM NORRIS DR STE 101
    LAKE CITY, FL
    ZIP 32025
  • Phone: (386) 401-9778

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NPI Details

PSK MANAGEMENT LLC is a primary care nurse practitioner in Lake City, FL. PSK MANAGEMENT LLC NPI is 1538794326. The provider is registered as an organization entity type.
The provider Is Doing Business As Ally Family Medicine.

The provider's business location address is:

1140 SW BASCOM NORRIS DR STE 101
LAKE CITY, FL
ZIP 32025-329
Phone: (386) 401-9778

The provider's authorized official is Kristin Kay .
The authorized official title is Owner and has the following contact phone number (352) 888-2783.

The enumeration date for this NPI number is 3/12/2020 and was last updated on 9/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareNo
2363LF0000XNurse PractitionerFamilyNo
3363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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