NPI
Kenyetta Shantel Oliver
NPI 1336710953
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2021-07-06
- Last updated
- 2026-10-18
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Specialties
Licenses
- License NY
- 017604-01
Location
- Practice location
- 120 W State St Apt 1
- City
- Albion NY
- Postal code
- 14411-1334
- Phone
- (585) 703-8109
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Albion, NY. 221 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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