Anderson, Kenyatta Denise

Anderson, Kenyatta Denise is an individual health care provider with primary practice located at 12914 Broadway Ave , Garfield Heights OH 44125-1859. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Kenyatta Denise can be contacted via phone (216) 848-9123.

Contact Information

Primary practice address
12914 Broadway Ave Garfield Heights OH 44125-1859
Phone: (216) 848-9123
Fax: (216) 848-9123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 024369 Ohio

Profile Details

NPI number 1164935599
LBN Legal business name Anderson, Kenyatta Denise
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2017
Last updated Jun 16th, 2023 - about last year

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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