Tyus, Karen Kennedy

Tyus, Karen Kennedy is an individual health care provider with primary practice located at 819 W 1St St , Sanford FL 32771-1123. She recently has only one registered license in Other Service Providers / Midwife, Lay, which is considered as her primary health care specialty. Tyus, Karen Kennedy can be contacted via phone (407) 321-3884.

Contact Information

Primary practice address
819 W 1St St Sanford FL 32771-1123
Phone: (407) 321-3884
Fax: (407) 321-3885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife, Lay 175M00000X MW116 Florida

Profile Details

NPI number 1962589267
LBN Legal business name Tyus, Karen Kennedy
Credentials Licensed Midwife (LM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 9th, 2007 - about 18 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 1962589267 NPPES
Florida MEDICAID 340123500

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