Provider Demographics
NPI:1205181534
Name:CLIFF, KENYA KYMANIA (LPN)
Entity Type:Individual
Prefix:MISS
First Name:KENYA
Middle Name:KYMANIA
Last Name:CLIFF
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 E 27TH ST
Mailing Address - Street 2:APT. 2G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-2257
Mailing Address - Country:US
Mailing Address - Phone:718-878-0547
Mailing Address - Fax:
Practice Address - Street 1:724 E 27TH ST
Practice Address - Street 2:APT. 2G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-2257
Practice Address - Country:US
Practice Address - Phone:718-878-0547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310287-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse