Kizzie Idella Enoch, is a
Licensed Practical Nurse based in Hiram, Georgia. Kizzie Idella Enoch is licensed to practice in Georgia (license number LPN078944) and her current practice location is
130 Birch St, Hiram, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 367-5357.
NPI number for Kizzie Idella Enoch is 1992763890 and her current mailing address is 130 Birch St, Hiram, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992763890.
Provider's Profile
Full Name | Kizzie Idella Enoch |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 130 Birch St, Hiram, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992763890
- Provider Enumeration Date: 05/02/2006
- Last Update Date: 03/06/2013
Medical Identifiers
Medical identifiers for Kizzie Idella Enoch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992763890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 910718 (Louisiana) | Secondary |
164W00000X | Licensed Practical Nurse | LPN078944 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kizzie Idella Enoch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kizzie Idella Enoch, 130 Birch St, Hiram, GA 30141-4171 Ph: () - | Kizzie Idella Enoch, 130 Birch St, Hiram, GA 30141-4171 Ph: (770) 367-5357 |
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