MS. KALETHIA BUSH LPN CPT EDDA NPI 1780328799

NPI Information

NPI: 1780328799
Provider Name: MS. KALETHIA BUSH, LPN, CPT, EDDA
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
606 ORIOLE BLVD STE 206
DUNCANVILLE, TX
ZIP 75116
Phone: (972) 861-2013
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MS. Kalethia Bush, LPN, CPT, EDDA is a licensed practical nurse in Duncanville, TX. The provider is a licensed practical nurse 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. MS. Kalethia Bush, LPN, CPT, EDDA NPI is 1780328799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

606 ORIOLE BLVD STE 206
DUNCANVILLE, TX
ZIP 75116-500
Phone: (972) 861-2013
Fax: (214) 889-8499

The enumeration date for this NPI number is 4/25/2022 and was last updated on 11/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	126800000X	Dental Assistant			No
2	171400000X	Health and Wellness Coach			No
3	164W00000X	Licensed Practical Nurse	30002221	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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