Individual
KENYA LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5017 ELIZABETH RD, CHARLOTTE, NC 28269-4534
(704) 352-8043
Mailing address
9849 SWEET PLUM DR, CHARLOTTE, NC 28215-7435
(704) 726-9657
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
20251452501
NC
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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