Etchison, Kenyatta

Etchison, Kenyatta is an individual health care provider with primary practice located at 85 E Newton St , Boston MA 02118-2340. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Etchison, Kenyatta can be contacted via phone (617) 414-4646.

Contact Information

Primary practice address
85 E Newton St Boston MA 02118-2340
Phone: (617) 414-4646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X

Profile Details

NPI number 1053516328
LBN Legal business name Etchison, Kenyatta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 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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