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Contact Information

KESHA D AMBROSE
2211 TRINIDAD DR
DALLAS, TX75232-2751
 Phone: 708-228-0308
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KESHA D AMBROSE · (Female)

NPI Number 1427565183
Status Active
Credentials
Entity Individual
Enumeration date 01/03/2018
Last updated 10/26/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041380607
  • IN License # 28199135
  • TN License # 290289
  • TX License # 975404
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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