Blaine, Kenzie Lee

Blaine, Kenzie Lee is an sole proprietor health care provider with primary practice located at 1317 Edgewater Dr Ste 2019 , Orlando FL 32804-6350. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Blaine, Kenzie Lee can be contacted via phone (877) 436-8527.

Contact Information

Primary practice address
1317 Edgewater Dr Ste 2019 Orlando FL 32804-6350
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1578298865
LBN Legal business name Blaine, Kenzie Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2022
Last updated Jul 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578298865 NPPES
Florida MEDICAID 374J00000X

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