Individual provider · NPI-1

Kenneth Chance, LPN

Licensed Practical Nurse · Wilmington, DE

NPI number1801502760
StatusActive
Last updated in NPPESJan 25, 2023

Details

NPI
1801502760
Entity type
Individual (NPI-1)
Name
Kenneth Chance
Credential
LPN
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 25, 2023
Certification date
Jan 24, 2023
Last updated
Jan 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseL2-0011697DEYes

Practice location

1601 Kirkwood Hwy
Wilmington, DE 19805-4988

Phone 302-994-2511

Mailing address

1208 Glen Mohr Ct
Townsend, DE 19734-2888

Phone 302-379-3957

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