Doctor Name: | MS. KEISHA KENNESHA LOPEZ |
NPI Number: | 1992196208 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 038954 |
Business Practice Address: | 13 South St Ste 1 Norwalk, CT - 068542660 |
Business Phone Number: | 2034345211 |
Business Fax Number: | 2033545702 |
Mailing Address: | 13 South St, Apt 1, NORWLK |
State: | CT |
Postal Code: | 06854 |
Phone Number: | 2034345211 |
Fax Number: | 2033545702 |
NPI Enumeration Date: | 02/09/2015 |
NPI Last Update Date: | 02/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 038954 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |