Kettle, Wavaney M

Kettle, Wavaney M is an individual health care provider with primary practice located at 11709 Holly Creek Dr , Riverview FL 33569-2018. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Health Educator. Other Service Providers / Health Educator is her primary health care specialty. Kettle, Wavaney M can be contacted via phone (813) 569-9601.

Contact Information

Primary practice address
11709 Holly Creek Dr Riverview FL 33569-2018
Phone: (813) 569-9601
Fax: (813) 609-6784
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X RN9179030 Florida
Other Service Providers / Health Educator 174H00000X RN9179030 Florida

Profile Details

NPI number 1689122137
LBN Legal business name Kettle, Wavaney M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2016
Last updated Sep 13th, 2016 - about 9 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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