Anthony, Kieyan Antonio

Anthony, Kieyan Antonio is an individual health care provider with primary practice located at 2105 W Cornwallis Dr , Greensboro NC 27408-7037. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Anthony, Kieyan Antonio can be contacted via phone (336) 235-4530.

Contact Information

Primary practice address
2105 W Cornwallis Dr Greensboro NC 27408-7037
Phone: (336) 235-4530
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 20501 North Carolina

Profile Details

NPI number 1336868520
LBN Legal business name Anthony, Kieyan Antonio
Credentials LMBT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2022
Last updated Aug 23rd, 2022 - about 4 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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