Kenway, Raedeane

Kenway, Raedeane is an individual health care provider with primary practice located at 8542 Holly Rd , Grand Blanc MI 48439. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kenway, Raedeane can be contacted via phone (810) 603-7887.

Contact Information

Primary practice address
8542 Holly Rd Grand Blanc MI 48439
Fax: (810) 720-1306
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2902008900 Michigan

Profile Details

NPI number 1336648393
LBN Legal business name Kenway, Raedeane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2018
Last updated Feb 6th, 2018 - about 7 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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