Kanneh, Fatu

Kanneh, Fatu is an sole proprietor health care provider with primary practice located at 3367 Reka St , Las Vegas NV 89121-4227. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Kanneh, Fatu can be contacted via phone (774) 329-6072.

Contact Information

Primary practice address
3367 Reka St Las Vegas NV 89121-4227
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X CNA037026 Nevada

Profile Details

NPI number 1053978288
LBN Legal business name Kanneh, Fatu
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2019
Last updated May 22nd, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053978288 NPPES
Nevada MEDICAID 1606144806

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