Individual
KENYA SHANEL WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 BELAIRE AVE STE 102, CHESAPEAKE, VA 23320-4686
(757) 818-4178
Mailing address
530 BELAIRE AVE STE 102, CHESAPEAKE, VA 23320-4686
(757) 818-4178
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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