Kelley, Latreca Marie

Kelley, Latreca Marie is an individual health care provider with primary practice located at 4438 E Falcon St , Wichita KS 67220-1776. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Nurse's Aide is her primary health care specialty. Kelley, Latreca Marie can be contacted via phone (316) 347-6633.

Contact Information

Primary practice address
4438 E Falcon St Wichita KS 67220-1776
Phone: (316) 347-6633
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Kansas
Nursing Service Related Providers / Nurse's Aide 376K00000X 05352 Kansas

Profile Details

NPI number 1174863898
LBN Legal business name Kelley, Latreca Marie
Credentials CMA/CNA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2013
Last updated Feb 15th, 2013 - about 13 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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