Individual
KENNESHA LAVERNE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN/NURSE
Contact information
Practice address
1912 DENMARK CT, LOCUST GROVE, GA 30248-3683
(678) 233-8717
Mailing address
1912 DENMARK CT, LOCUST GROVE, GA 30248-3683
(678) 233-8717
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP43714
MD
164W00000X
Licensed Practical Nurse
Primary
LPN078474
GA
Other
Enumeration date
03/10/2011
Last updated
03/11/2011
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