Blackmon, Kineta Delisse

Blackmon, Kineta Delisse is an individual health care provider with primary practice located at 3800 Rosemont Blvd Apt 113A , Fairlawn OH 44333-9249. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Blackmon, Kineta Delisse can be contacted via phone (330) 245-9849.

Contact Information

Primary practice address
3800 Rosemont Blvd Apt 113A Fairlawn OH 44333-9249
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X Ohio

Profile Details

NPI number 1598408361
LBN Legal business name Blackmon, Kineta Delisse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2022
Last updated Apr 19th, 2022 - about 2 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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