Mireku, Kenyatta
Mireku, Kenyatta is an individual health care provider with primary practice located at 771 Old Norcross Rd Ste 260 , Lawrenceville GA 30046-4981. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mireku, Kenyatta can be contacted via phone (770) 962-5040.Contact Information
Primary practice address
771 Old Norcross Rd Ste 260
Lawrenceville GA 30046-4981
Phone: (770) 962-5040
Fax: (770) 962-5056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 080834 | Georgia |
Profile Details
| NPI number | 1740600048 |
|---|---|
| LBN Legal business name | Mireku, Kenyatta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2014 |
| Last updated | Oct 2nd, 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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