Ceniceros, Kelly Michelle
Ceniceros, Kelly Michelle is an sole proprietor health care provider with primary practice located at 6849 E. Hwy 92 , Hereford AZ 85615-0038. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Ceniceros, Kelly Michelle can be contacted via phone (520) 366-5508.Contact Information
Primary practice address
6849 E. Hwy 92
Hereford AZ 85615-0038
Phone: (520) 366-5508
Fax: (520) 366-5592
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / School | 163WS0200X | RN115568 | Arizona |
Profile Details
NPI number | 1306061700 |
---|---|
LBN Legal business name | Ceniceros, Kelly Michelle |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 13th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306061700 | NPPES |
Arizona | MEDICAID | 636045 |
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