KENENNESHA LATASHA MITCHELL EMT-I NPI 1861746745

NPI Information

NPI: 1861746745
Provider Name: KENENNESHA LATASHA MITCHELL, EMT-I
Classification: Emergency Medical Technician, Intermediate - 146M00000X
Entity Type: Individual
Address:
2467 GOLDEN CAMP RD
AUGUSTA, GA
ZIP 30906
Phone: (706) 790-4440
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Kenennesha Latasha Mitchell, EMT-I is an emergency medical technician intermediate in Augusta, GA. The provider is an Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. Kenennesha Latasha Mitchell, EMT-I NPI is 1861746745. 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:

2467 GOLDEN CAMP RD
AUGUSTA, GA
ZIP 30906-515
Phone: (706) 790-4440
Fax: (706) 790-4393

The enumeration date for this NPI number is 10/31/2012 and was last updated on 10/31/2012.

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	Taxonomy Specialization	License Number	License State	Primary
1	146M00000X	Emergency Medical Technician, Intermediate		29545	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	29545	OTHER	GEORGIA	EMT-I

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: 4/28/2024

NPI Synchronization or Removal

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