Mitchell, Kenennesha Latasha
Mitchell, Kenennesha Latasha is an individual health care provider with primary practice located at 2467 Golden Camp Rd , Augusta GA 30906-5515. She recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, which is considered as her primary health care specialty. Mitchell, Kenennesha Latasha can be contacted via phone (706) 790-4440.Contact Information
Primary practice address
2467 Golden Camp Rd
Augusta GA 30906-5515
Phone: (706) 790-4440
Fax: (706) 790-4393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Intermediate | 146M00000X | 29545 | Georgia |
Profile Details
| NPI number | 1861746745 |
|---|---|
| LBN Legal business name | Mitchell, Kenennesha Latasha |
| Credentials | EMT-I |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2012 |
| Last updated | Oct 31st, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861746745 | NPPES |
| Georgia | Other | 29545 | EMT-I |
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