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NPI Code Detail

MEDICARE: MS. KANDICE RENITA DUNN LPN

MEDICARE:  MS. KANDICE RENITA DUNN  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN112269OH

General Provider Information

NPI Number : 1538493531
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KANDICE RENITA DUNN LPN
Provider Business Mailing Address
First Line : 1014 ACADEMY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45205-1643
Country : US
Telephone Number : 513-541-4018
Fax Number :
Provider Business Practice Location Address
First Line : 1014 ACADEMY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45205-1643
Country : US
Telephone Number : 513-541-4018
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2009
Last Update Date : 09/23/2009

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Directions to “ MS. KANDICE RENITA DUNN LPN” Practice Location

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