Tien, Ke-Ni N

Tien, Ke-Ni N is an individual health care provider with primary practice located at 9500 Euclid Ave , Cleveland OH 44195-5128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Tien, Ke-Ni N can be contacted via phone (216) 444-5037.

Contact Information

Primary practice address
9500 Euclid Ave Cleveland OH 44195-5128
Phone: (216) 444-5037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 28173680 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 71002551 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X APRN.CNP11513 Ohio

Profile Details

NPI number 1518141837
LBN Legal business name Tien, Ke-Ni N
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2007
Last updated Nov 16th, 2021 - about 3 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 1518141837 NPPES
Indiana MEDICAID 200942900

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