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1346659869 NPI number — KYNETTE WINDHAM

NPI Number: 1346659869
Health Care Provider/Practitioner: KYNETTE WINDHAM

Information about “1346659869” NPI (KYNETTE WINDHAM) exists in 1346659869 in HTML format HTML  |  1346659869 in plain Text format TXT  |  1346659869 in PDF (Portable Document Format) PDF  |  1346659869 in an XML format XML  formats.

NPI Number : 1346659869 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346659869",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WINDHAM",
    "FirstName": "KYNETTE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "20806 EASTLAWN ST",
    "SecondLineMailingAddress": "APT#79",
    "MailingAddressCityName": "SAINT CLAIR SHORES",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48080-1608",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-241-1462",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "20806 EASTLAWN ST",
    "SecondLinePracticeLocationAddress": "APT#79",
    "PracticeLocationAddressCityName": "SAINT CLAIR SHORES",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48080-1608",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-241-1462",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/08/2014",
    "LastUpdateDate": "02/01/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "164W00000X",
          "TaxonomyName": "Licensed Practical Nurse",
          "LicenseNumber": "4703113538",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "4704368248",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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