Enoch, Kizzie Idella

Enoch, Kizzie Idella is an sole proprietor health care provider with primary practice located at 130 Birch St , Hiram GA 30141-4171. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Vocational Nurse, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Enoch, Kizzie Idella can be contacted via phone (770) 367-5357.

Contact Information

Primary practice address
130 Birch St Hiram GA 30141-4171
Phone: (770) 367-5357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 910718 Louisiana
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN078944 Georgia

Profile Details

NPI number 1992763890
LBN Legal business name Enoch, Kizzie Idella
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated Mar 6th, 2013 - about 12 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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