Kendrick-Jeffery, Diane

Kendrick-Jeffery, Diane is an sole proprietor health care provider with primary practice located at 2051 W Grand Blvd , Detroit MI 48208-1105. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Kendrick-Jeffery, Diane can be contacted via phone (131) 396-1378.

Contact Information

Primary practice address
2051 W Grand Blvd Detroit MI 48208-1105
Phone: (131) 396-1378
Fax: (131) 396-1376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704120743 Michigan

Profile Details

NPI number 1699975565
LBN Legal business name Kendrick-Jeffery, Diane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2007
Last updated Jul 19th, 2007 - about 17 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 1699975565 NPPES
Michigan Other 4704120743 STATE LICENSE NUMBER

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