Dickey, Kenisha Melissa
Dickey, Kenisha Melissa is an sole proprietor health care provider with primary practice located at 20 E Liberty St # 1-C , Sumter SC 29150-5237. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Dickey, Kenisha Melissa can be contacted via phone (803) 236-0139.Contact Information
Primary practice address
20 E Liberty St # 1-C
Sumter SC 29150-5237
Phone: (803) 236-0139
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | IHCP-1471 | South Carolina |
Profile Details
| NPI number | 1568194694 |
|---|---|
| LBN Legal business name | Dickey, Kenisha Melissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2022 |
| Last updated | Jul 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568194694 | NPPES |
| South Carolina | Other | 871183504 | AGENCY |
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