Lane, Kenyona

Lane, Kenyona is an individual health care provider with primary practice located at 14950 Potomac Heights Pl Apt 204 , Woodbridge VA 22191-6247. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lane, Kenyona can be contacted via phone (704) 577-4576.

Contact Information

Primary practice address
14950 Potomac Heights Pl Apt 204 Woodbridge VA 22191-6247
Phone: (704) 577-4576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904009514 Virginia

Profile Details

NPI number 1649464348
LBN Legal business name Lane, Kenyona
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2007
Last updated Sep 19th, 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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