Individual provider · Type 1 NPI

Detavia Kenan, CMA

Phlebotomy Technician · Greensboro, NC

NPI number 1073342325 Active

Practice location

2 Centerview Dr Ste 64
Greensboro, NC 27407-3708

Call (336) 303-0587 Map

Mailing address

555 Whistling Swan Dr
Greensboro, NC 27455-1535

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Phlebotomy Technician Primary 246RP1900XNone listed

Phlebotomy Technician: Definition to come...

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About NPI 1073342325

Detavia Kenan, CMA's National Provider Identifier is 1073342325, issued on Jul 26, 2024. The primary taxonomy on file is Phlebotomy Technician (246RP1900X), and the practice location is in Greensboro, NC. The record was last updated on Jul 26, 2024.