Louine, Ketena D

Louine, Ketena D is an sole proprietor health care provider with primary practice located at 605 Sw Indian Key Dr , Port St Lucie FL 34986-2076. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Louine, Ketena D can be contacted via phone (772) 480-3776.

Contact Information

Primary practice address
605 Sw Indian Key Dr Port St Lucie FL 34986-2076
Phone: (772) 480-3776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP3333312 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X NP3333312 Florida

Profile Details

NPI number 1578224150
LBN Legal business name Louine, Ketena D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2022
Last updated Jan 25th, 2022 - about 2 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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