Individual
KENISHA SALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 BROWN ST, WASHINGTON, NC 27889-4670
(252) 350-3662
Mailing address
186 GODLEY RD, GRIMESLAND, NC 27837-8859
(252) 350-3662
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NC
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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