Individual
KYEESHA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1103 76TH ST NW, BRADENTON, FL 34209-1032
(813) 385-6744
Mailing address
1103 76TH ST NW, BRADENTON, FL 34209-1032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9419079
FL
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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