Individual
KENISHA EXUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
622 S MEMORIAL DR, GREENVILLE, NC 27834-2854
(919) 910-4001
Mailing address
745 OLD SNOW HILL RD, AYDEN, NC 28513-7712
(252) 902-7338
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
80926
NC
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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