Johnson, Kenyetta

Johnson, Kenyetta is an sole proprietor health care provider with primary practice located at 12 White Birch Trl , Bloomingburg NY 12721-4933. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Johnson, Kenyetta can be contacted via phone (845) 316-9426.

Contact Information

Primary practice address
12 White Birch Trl Bloomingburg NY 12721-4933
Phone: (845) 316-9426
Fax: (845) 316-2366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X AEC-21-01947 New York

Profile Details

NPI number 1205580636
LBN Legal business name Johnson, Kenyetta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2022
Last updated Feb 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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