Provider Demographics
NPI:1386103216
Name:ALBRECHT, KAITLYN LEMES (DO)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:LEMES
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:
Other - Last Name:LEMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3940 GADSDEN RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-6307
Mailing Address - Country:US
Mailing Address - Phone:954-604-0530
Mailing Address - Fax:
Practice Address - Street 1:13453 N MAIN ST STE 503
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-2774
Practice Address - Country:US
Practice Address - Phone:904-491-0177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS18671208000000X
FLUO6399208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics