Pettaway, Kimyata Latrice

Pettaway, Kimyata Latrice is an sole proprietor health care provider with primary practice located at 2005 Ashland Ave , Toledo OH 43620-1703. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Pettaway, Kimyata Latrice can be contacted via phone (419) 841-7701.

Contact Information

Primary practice address
2005 Ashland Ave Toledo OH 43620-1703
Phone: (419) 841-7701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN.446147 Ohio
Nursing Service Providers / Registered Nurse 163W00000X RN.446147 Ohio

Profile Details

NPI number 1093213738
LBN Legal business name Pettaway, Kimyata Latrice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2018
Last updated May 2nd, 2023 - 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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