Johnson, Kimenita Rosunda

Johnson, Kimenita Rosunda is an sole proprietor health care provider with primary practice located at 14961 Tyler St , Miami FL 33176-7640. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Johnson, Kimenita Rosunda can be contacted via phone (786) 486-6855.

Contact Information

Primary practice address
14961 Tyler St Miami FL 33176-7640
Fax: (305) 688-1415
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 230621 Florida

Profile Details

NPI number 1962663450
LBN Legal business name Johnson, Kimenita Rosunda
Credentials INDIVIDUAL PROVIDER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2008
Last updated Jun 18th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962663450 NPPES
Florida Other 230621 HOMEMAKER &COMPANION SERVICES

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