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Contact Information

KANISHA C DICKENS, LPN
12 MOONSTONE CT
DURHAM, NC27703-2682
 Phone: 866-654-1113
 Fax: 919-439-0222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Nursing Home Administrator

376G00000X
Indicates primary specialty

NPI Profile & details for KANISHA C DICKENS · (Female)

NPI # 1659625499
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 11/01/2012
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 59949
  • NC License # FCL-032-122
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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