Ceniceros, Kelly Michelle

Ceniceros, Kelly Michelle is an sole proprietor health care provider with primary practice located at 6849 E. Hwy 92 , Hereford AZ 85615-0038. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Ceniceros, Kelly Michelle can be contacted via phone (520) 366-5508.

Contact Information

Primary practice address
6849 E. Hwy 92 Hereford AZ 85615-0038
Phone: (520) 366-5508
Fax: (520) 366-5592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN115568 Arizona

Profile Details

NPI number 1306061700
LBN Legal business name Ceniceros, Kelly Michelle
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated Jul 8th, 2007 - about 19 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 1306061700 NPPES
Arizona MEDICAID 636045

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