Kelvin Gaines
Home Health Aide in Beavercreek, OH. Individual provider (NPI-1).
NPI number1194537050
StatusActive
Last updated in NPPESJan 27, 2025
Details
- NPI
- 1194537050
- Entity type
- Individual (NPI-1)
- Name
- Kelvin Gaines
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2025
- Certification date
- Jan 26, 2025
- Last updated
- Jan 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
4041 Primrose Pl Apt 37Beavercreek, OH 45431-2381
Phone 614-515-0269
Mailing address
4041 Primrose Pl Apt 37Beavercreek, OH 45431-2381
Phone 614-515-0269
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