Kenyan, Marietta

Kenyan, Marietta is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kenyan, Marietta can be contacted via phone (508) 334-0689.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (508) 334-0689
Fax: (508) 856-3981
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2266809 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2266809 Massachusetts

Profile Details

NPI number 1487024980
LBN Legal business name Kenyan, Marietta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2015
Last updated Apr 25th, 2016 - about 10 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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