Individual
KENOSHA CURRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4828 MCCOOK AVE, EAST CHICAGO, IN 46312-3880
(219) 397-8038
Mailing address
4828 MCCOOK AVE, EAST CHICAGO, IN 46312-3880
(219) 397-8038
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
44-03-01-00147
IN
376K00000X
Nurse's Aide
45-01-98-15764
IN
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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