Mcdaniel, Kelvin Lorenzo

Mcdaniel, Kelvin Lorenzo is an individual health care provider with primary practice located at 2811 Twain Ln , North Chesterfield VA 23224-4421. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Mcdaniel, Kelvin Lorenzo can be contacted via phone (804) 324-8686.

Contact Information

Primary practice address
2811 Twain Ln North Chesterfield VA 23224-4421
Phone: (804) 324-8686
Fax: (804) 324-8686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Virginia

Profile Details

NPI number 1588174908
LBN Legal business name Mcdaniel, Kelvin Lorenzo
Credentials CEO
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2017
Last updated Dec 10th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588174908 NPPES
Virginia Other 834152551 IRS

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