Edwards, Kentrell Lamar

Edwards, Kentrell Lamar is an individual health care provider with primary practice located at 1131 W 26Th St , Riviera Beach FL 33404-4116. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Edwards, Kentrell Lamar can be contacted via phone (561) 236-0021.

Contact Information

Primary practice address
1131 W 26Th St Riviera Beach FL 33404-4116
Phone: (561) 236-0021
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1598367930
LBN Legal business name Edwards, Kentrell Lamar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2020
Last updated Nov 11th, 2020 - about 6 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 1598367930 NPPES
Florida MEDICAID 107428100

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