Abbott, Keshia

Abbott, Keshia is an individual health care provider with primary practice located at 145 W 4Th St , Cookeville TN 38501-2447. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Abbott, Keshia can be contacted via phone (931) 783-2143.

Contact Information

Primary practice address
145 W 4Th St Cookeville TN 38501-2447
Phone: (931) 783-2143
Fax: (931) 783-2152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22439 Tennessee

Profile Details

NPI number 1700327236
LBN Legal business name Abbott, Keshia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2017
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700327236 NPPES
Tennessee MEDICAID Q027421
Tennessee MEDICAID 7100470230
Tennessee Other 6102285

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