Pridgen, Kaneetah Velma

Pridgen, Kaneetah Velma is an individual health care provider with primary practice located at 17827 18Th Avenue Ct E , Spanaway WA 98387-4119. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Pridgen, Kaneetah Velma can be contacted via phone (253) 273-0571.

Contact Information

Primary practice address
17827 18Th Avenue Ct E Spanaway WA 98387-4119
Phone: (253) 273-0571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X PC60845589 Washington

Profile Details

NPI number 1285202705
LBN Legal business name Pridgen, Kaneetah Velma
Credentials MA-P
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2021
Last updated Jun 11th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285202705 NPPES
Washington Other 604769510 UBI

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