Dickens, Kanisha Conrad

Dickens, Kanisha Conrad is an individual health care provider with primary practice located at 12 Moonstone Ct , Durham NC 27703-2682. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Related Providers / Nursing Home Administrator. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Dickens, Kanisha Conrad can be contacted via phone (866) 654-1113.

Contact Information

Primary practice address
12 Moonstone Ct Durham NC 27703-2682
Phone: (866) 654-1113
Fax: (919) 439-0222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 59949 North Carolina
Nursing Service Related Providers / Nursing Home Administrator 376G00000X FCL-032-122 North Carolina

Profile Details

NPI number 1659625499
LBN Legal business name Dickens, Kanisha Conrad
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2012
Last updated Nov 27th, 2023 - 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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