Kenyon, Joanne

Kenyon, Joanne is an individual health care provider with primary practice located at 55 Cherry Ln , Wakefield RI 02879-3617. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Kenyon, Joanne can be contacted via phone (401) 789-1367.

Contact Information

Primary practice address
55 Cherry Ln Wakefield RI 02879-3617
Fax: (401) 789-6744
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN32847 Rhode Island

Profile Details

NPI number 1770614703
LBN Legal business name Kenyon, Joanne
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Mar 12th, 2013 - about 11 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 1770614703 NPPES
Rhode Island MEDICAID JK12451

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