Haven, Kwame Kenyatta
Haven, Kwame Kenyatta is an sole proprietor health care provider with primary practice located at 1624 N Burnside Ave , Gonzales LA 70737-2139. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Haven, Kwame Kenyatta can be contacted via phone (225) 644-7528.Contact Information
Primary practice address
1624 N Burnside Ave
Gonzales LA 70737-2139
Phone: (225) 644-7528
Fax: (225) 647-3949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 18547 | Louisiana |
Profile Details
| NPI number | 1558644369 |
|---|---|
| LBN Legal business name | Haven, Kwame Kenyatta |
| Credentials | PHARM.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2011 |
| Last updated | Sep 28th, 2011 - about 15 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.
Popular Providers
-
Menard, Allison Day
6473 Highway 44 Ste 101 , Gonzales LA 70737-8179 -
Steward, Kaina L.
1624 N Burnside Ave , Gonzales LA 70737-2139 -
Mitchell, Nakeisha Lebeauf
1607 N Airline Hwy , Gonzales LA 70737-2101 -
Boone, Thomas Edward
115 S Airline Hwy , Gonzales LA 70737-3633 -
Guynes, Lucinda
1710 N Airline Hwy , Gonzales LA 70737-2127 -
Dupre, Chris Anthony
15013 Highway 44 , Gonzales LA 70737-6744 -
Holt, Robert John
1624 N Burnside Ave , Gonzales LA 70737-2139 -
Smith, Therese Bourgeois
1039 E Highway 30 , Gonzales LA 70737-4757