Johnson, Kwenda Kikora
Johnson, Kwenda Kikora is an individual health care provider with primary practice located at 111 S Fairview Rd , Rocky Mount NC 27801-6971. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Johnson, Kwenda Kikora can be contacted via phone (252) 446-3333.Contact Information
Primary practice address
111 S Fairview Rd
Rocky Mount NC 27801-6971
Phone: (252) 446-3333
Fax: (252) 446-0426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0010-00351 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-00351 | North Carolina |
Profile Details
| NPI number | 1801811997 |
|---|---|
| LBN Legal business name | Johnson, Kwenda Kikora |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Aug 17th, 2018 - about 6 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 | 1801811997 | NPPES |
| South Carolina | MEDICAID | 0399PA |
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