Green, Kawanza S

Green, Kawanza S is an sole proprietor health care provider with primary practice located at 3022 Guava St , Fort Myers FL 33916-1910. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Green, Kawanza S can be contacted via phone (239) 295-1803.

Contact Information

Primary practice address
3022 Guava St Fort Myers FL 33916-1910
Phone: (239) 295-1803
Fax: (239) 939-7731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X CNA321992 Florida

Profile Details

NPI number 1396461604
LBN Legal business name Green, Kawanza S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2022
Last updated Oct 18th, 2022 - about 4 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 1396461604 NPPES
Other 0000 N/A

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