Kenesha E Djalal, LICENSED NURSE
Individual provider Active NPI Licensed Practical Nurse · Trotwood, OH
NPI 1831831908 · NPPES record last updated Apr 10, 2022
Key facts
- NPI
- 1831831908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 138436 (OH)
- Practice address
- 5377 Salem Bend Dr Apt C
Trotwood, OH 45426-1635 - Phone
- (326) 467-2878
- NPI assigned
- Apr 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138436 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 138436 | OH | Yes |
Addresses
Primary practice location
5377 Salem Bend Dr Apt C
Trotwood, OH 45426-1635
Mailing address
5377 Salem Bend Dr Apt C
Trotwood, OH 45426-1635
Phone (326) 467-2878
Other providers in Trotwood, OH
- Brian Davis
- Dawndrea Howard
- Dayton Foods Limited Partnership
- Duane Dickens
- Adriana Diggs
- Angel Nicole Drake
- Drive Safe Transportation
- Sarah Ann Drought
- Patricia Dianne Dungy
- Nikki Nicole Edmonds
All providers in Trotwood, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.