Individual
KASHONNA FORNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8228 HORNWOOD CT, CHARLOTTE, NC 28215-7362
(704) 247-7963
Mailing address
8228 HORNWOOD CT, CHARLOTTE, NC 28215-7362
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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