Lane, Kisha Nicole
Lane, Kisha Nicole is an sole proprietor health care provider with primary practice located at 1695 Graves Rd Apt 1801 , Norcross GA 30093-5915. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Lane, Kisha Nicole can be contacted via phone (770) 294-3733.Contact Information
Primary practice address
1695 Graves Rd Apt 1801
Norcross GA 30093-5915
Phone: (770) 294-3733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1225642549 |
|---|---|
| LBN Legal business name | Lane, Kisha Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2020 |
| Last updated | Sep 3rd, 2020 - about 5 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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