Louine, Ketena D
Louine, Ketena D is an sole proprietor health care provider with primary practice located at 605 Sw Indian Key Dr , Port St Lucie FL 34986-2076. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Louine, Ketena D can be contacted via phone (772) 480-3776.Contact Information
Primary practice address
605 Sw Indian Key Dr
Port St Lucie FL 34986-2076
Phone: (772) 480-3776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP3333312 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | NP3333312 | Florida |
Profile Details
| NPI number | 1578224150 |
|---|---|
| LBN Legal business name | Louine, Ketena D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2022 |
| Last updated | Jan 25th, 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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