Kenyattia Cagle
Technician, Attendant Care Provider in Milwaukee, WI. Individual provider (NPI-1).
NPI number1912575366
StatusActive
Last updated in NPPESJun 14, 2021
Details
- NPI
- 1912575366
- Entity type
- Individual (NPI-1)
- Name
- Kenyattia Cagle
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2021
- Certification date
- Jun 14, 2021
- Last updated
- Jun 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
8031 N Granville RdMilwaukee, WI 53224
Phone 414-388-3239
Mailing address
2325 N 20th StMilwaukee, WI 53206
Phone 414-793-2772
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