Gant, Kenzie Suzette
Gant, Kenzie Suzette is an individual health care provider with primary practice located at 111 Washington Ave Nw , Wagner SD 57380-4300. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gant, Kenzie Suzette can be contacted via phone (605) 384-3621.Contact Information
Primary practice address
111 Washington Ave Nw
Wagner SD 57380-4300
Phone: (605) 384-3621
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | CP002187 | South Dakota |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CP002187 | South Dakota |
Profile Details
NPI number | 1750001970 |
---|---|
LBN Legal business name | Gant, Kenzie Suzette |
Credentials | DNP, FNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2022 |
Last updated | Mar 27th, 2024 - about last year |
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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