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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIZZIE IDELLA ENOCH

Active Sole Proprietor

KIZZIE IDELLA ENOCH is a Licensed Practical Nurse healthcare provider located in HIRAM, Georgia. NPI 1992763890 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · HIRAM, GA

Registration Details

NPI Number
1992763890
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2006 (20.250479574417 yrs)
Last Updated
Mar 6, 2013
Licenses
910718 (LA)
LPN078944 (GA)
Sole Proprietor
Yes

Practice Information

Address
130 BIRCH ST
HIRAM, GA, 301414171
Browse GA providers · Browse ZIP 30141
Phone
7703675357
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Licensed Practical Nurse

Other Licensed Practical Nurse Providers in HIRAM, GA

Name Credential NPI
EVELYNE AMBROISE LPN 1598943383
ROBERT MAINA 1952005795
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.