Individual provider · NPI-1
Kimberly Ann Bentley
Home Health Aide · Portsmouth, OH
NPI number1619790243
StatusActive
Last updated in NPPESNov 4, 2024
Details
- NPI
- 1619790243
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Ann Bentley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2024
- Certification date
- Nov 3, 2024
- Last updated
- Nov 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
2024 Harrisonville Ave # APortsmouth, OH 45662-5019
Phone 740-961-3365
Mailing address
2024 Harrisonville Ave # APortsmouth, OH 45662-5019
Phone 740-961-3365
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