NPI 1073342325
Detavia Kenan, CMA
Practice location
- Address
- 2 Centerview Dr STE 64, Greensboro, NC 27407-3708
- Phone
- (336) 303-0587
- Mailing address
- 555 Whistling Swan Dr, Greensboro, NC 27455-1535
Registered specialties (2)
Phlebotomy Technician
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1073342325
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Jul 2024
- Record last updated
- 26 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.