IndividualActive
Detavia Kenan, CMA
NPI 1073342325 · Phlebotomy Technician · Greensboro, NC
Provider details
- NPI number
- 1073342325
- Entity type
- Individual
- Primary specialty
- Phlebotomy TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- CMA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
2 Centerview Dr Ste 64
Greensboro, NC 27407-3708
Phone: (336) 303-0587
Approximate (ZIP-level) locationGet directions
Mailing address
555 Whistling Swan Dr
Greensboro, NC 27455-1535
Registry dates
- Enumerated
- 2024-07-26
- Last updated
- 2024-07-26
- Certified
- 2024-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.