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Individual

KENYA MARSHALL ALEXANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
7080 CHINCOTEAGUE LN, NEW CHURCH, VA 23415-3838
(757) 894-5587
Mailing address
PO BOX 49, NEW CHURCH, VA 23415-0049
(757) 894-5587

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN083700
GA
364SH0200X
Home Health Clinical Nurse Specialist
LPN083700
GA

Other

Enumeration date
11/08/2019
Last updated
11/08/2019
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