Ricketts, Kenesha Shashana

Ricketts, Kenesha Shashana is an individual health care provider with primary practice located at 16401 Northwest 37Th Ave , Miami Gardens FL 33054. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ricketts, Kenesha Shashana can be contacted via phone (954) 391-0036.

Contact Information

Primary practice address
16401 Northwest 37Th Ave Miami Gardens FL 33054
Phone: (954) 391-0036
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11027169 Florida

Profile Details

NPI number 1285312157
LBN Legal business name Ricketts, Kenesha Shashana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2023
Last updated Jul 10th, 2023 - about 3 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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