Tia Rochelle Berry Kinsey, C.C.M.A
Home Health in Beavercreek, OH. Individual provider (NPI-1).
NPI number1821782392
StatusActive
Last updated in NPPESJun 6, 2023
Details
- NPI
- 1821782392
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tia Rochelle Berry Kinsey
- Credential
- C.C.M.A
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2023
- Certification date
- Jun 6, 2023
- Last updated
- Jun 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
405 Reed Rd Apt MBeavercreek, OH 45440-4558
Phone 419-708-0958
Mailing address
11400 Branch LnMiamisburg, OH 45342-0809
Phone 513-393-5702
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