Walcott, Kennie Nicole Jackson

Walcott, Kennie Nicole Jackson is an sole proprietor health care provider with primary practice located at 3955 Campbell Ave , Indianapolis IN 46226-4836. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Technician, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is her primary health care specialty. Walcott, Kennie Nicole Jackson can be contacted via phone (317) 362-3792.

Contact Information

Primary practice address
3955 Campbell Ave Indianapolis IN 46226-4836
Phone: (317) 362-3792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1629380316
LBN Legal business name Walcott, Kennie Nicole Jackson
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2010
Last updated Jul 9th, 2010 - about 16 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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