Detavia Kenan, CMA
Detavia Kenan, CMA is an In Home Supportive Care Agency in Greensboro, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
2 Centerview Dr Ste 64Greensboro, NC 27407-3708
Phone: (336) 303-0587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Phlebotomy Technician (primary) | Taxonomy 246RP1900X |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
Record details
| NPI number | 1073342325 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CMA |
| Sole proprietor | Yes |
| NPI enumerated | July 26, 2024 |
| Last updated in NPPES | July 26, 2024 |
| Certification date | July 26, 2024 |
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