Alexis, Ketia

Alexis, Ketia is an sole proprietor health care provider with primary practice located at 10650 W State Road 84 Ste 206 , Davie FL 33324-4235. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Alexis, Ketia can be contacted via phone (954) 634-3636.

Contact Information

Primary practice address
10650 W State Road 84 Ste 206 Davie FL 33324-4235
Phone: (954) 634-3636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1417361387
LBN Legal business name Alexis, Ketia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2014
Last updated Jun 18th, 2014 - about 10 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 1417361387 NPPES
Florida MEDICAID 010820300

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