DETAVIA KENAN CMA
NPI 1073342325
Technician, Pathology - Phlebotomy in Greensboro, NC

Active since July 26, 2024
2 CENTERVIEW DR STE 64, GREENSBORO, NC 27407(336) 303-0587 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Detavia Kenan Cma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DETAVIA KENAN CMA (NPI 1073342325) is an individual phlebotomy provider in Greensboro, North Carolina and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1073342325
Entity TypeIndividualFemale
Primary Taxonomy246RP1900X
Provider Legal NameDETAVIA KENANCredential: CMA
Location Address2 CENTERVIEW DR STE 64Greensboro, NC 27407-3708
Mailing Address555 Whistling Swan DrGreensboro, NC 27455-1535 · (919) 696-6125
Sole ProprietorYes
Enumeration DateJuly 26, 2024
NPPES CertifiedJuly 26, 2024
NPI 1073342325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
2 CENTERVIEW DR STE 64, Greensboro, NC 27407

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician, Pathology (Phlebotomy)
2 CENTERVIEW DR STE 64
GREENSBORO, NC 27407
Clinic/Center (Adult Day Care)
2 CENTERVIEW DR STE 64
GREENSBORO, NC 27407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Detavia Kenan's NPI number?

The NPI number for Detavia Kenan is 1073342325. It was assigned to this individual provider in the NPPES registry on July 26, 2024.

Where is Detavia Kenan located?

Detavia Kenan practices at 2 Centerview Dr Ste 64, Greensboro, NC 27407. The listed phone number is (336) 303-0587.

What is Detavia Kenan's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Detavia Kenan was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.