Dawson, Keona

Dawson, Keona is an individual health care provider with primary practice located at 469 Migeon Ave , Torrington CT 06790-4643. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Dawson, Keona can be contacted via phone (860) 482-3038.

Contact Information

Primary practice address
469 Migeon Ave Torrington CT 06790-4643
Phone: (860) 482-3038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5941 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 005941 Connecticut

Profile Details

NPI number 1841688553
LBN Legal business name Dawson, Keona
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2015
Last updated Dec 5th, 2016 - about 10 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 1841688553 NPPES
Connecticut MEDICAID 1356318091

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