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Contact Information

SALLY B KENYON, LPN
1451 GEORGE WASHINGTON HWY
#245
GLOUCESTER POINT, VA23062
 Phone: 757-706-4584
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for SALLY B KENYON · (Female)

NPI # 1104319227
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 06/13/2018
Last updated 06/07/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0002083205
  • KS Other T64452265 DRIVERS LIC
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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