Kenagy, Mariah

Kenagy, Mariah is an sole proprietor health care provider with primary practice located at 4997 Royal Gulf Cir , Fort Myers FL 33966-7006. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Kenagy, Mariah can be contacted via phone (239) 313-5049.

Contact Information

Primary practice address
4997 Royal Gulf Cir Fort Myers FL 33966-7006
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SI4523 Florida

Profile Details

NPI number 1932774858
LBN Legal business name Kenagy, Mariah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2021
Last updated May 24th, 2021 - about 3 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 1932774858 NPPES
Florida Other SI4523 STATE LIC

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