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Contact Information

KENZIE L BLAINE
1317 EDGEWATER DR STE 2019
ORLANDO, FL32804-6350
 Phone: 877-436-8527
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Doula

374J00000X
Indicates primary specialty

NPI Profile & details for KENZIE L BLAINE · (Female)

NPI Number 1578298865
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2022
Last updated 07/20/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL Medicaid 374J00000X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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