Green, Kawanza S
Green, Kawanza S is an sole proprietor health care provider with primary practice located at 3022 Guava St , Fort Myers FL 33916-1910. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Green, Kawanza S can be contacted via phone (239) 295-1803.Contact Information
Primary practice address
3022 Guava St
Fort Myers FL 33916-1910
Phone: (239) 295-1803
Fax: (239) 939-7731
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Nurse's Aide | 376K00000X | CNA321992 | Florida |
Profile Details
NPI number | 1396461604 |
---|---|
LBN Legal business name | Green, Kawanza S |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 18th, 2022 |
Last updated | Oct 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 | 1396461604 | NPPES |
Other | 0000 | N/A |
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