# MS. KALETHIA BUSH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780328799
- **Gender:** F
- **Credential:** LPN, CPT, EDDA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 126800000X | Dental Assistant | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | 30002221 | LA | Yes |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 174H00000X | Health Educator | — | NULL | — |
| 202K00000X | Phlebology Physician | Y4K7H8M8 | LA | — |

## Other

- **Enumeration date:** 04/25/2022
- **Last updated:** 12/16/2024