DETAVIA KENAN CMA NPI 1073342325

NPI Information

  • NPI: 1073342325
  • Provider Name: DETAVIA KENAN, CMA
  • Classification: Technician, Pathology - 246RP1900X
  • Specialization: Phlebotomy
  • Entity Type: Individual
  • Address: 2 CENTERVIEW DR STE 64
    GREENSBORO, NC
    ZIP 27407
  • Phone: (336) 303-0587

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NPI Details

Detavia Kenan, CMA is a phlebotomy technician pathology in Greensboro, NC. Detavia Kenan, CMA NPI is 1073342325. 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:

2 CENTERVIEW DR STE 64
GREENSBORO, NC
ZIP 27407-708
Phone: (336) 303-0587

The enumeration date for this NPI number is 7/26/2024 and was last updated on 7/26/2024.

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
1253Z00000XIn Home Supportive CareNo
2246RP1900XTechnician, PathologyPhlebotomyYes

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: 11/21/2025

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