MEDICARE: KENIYA L TAYLOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide
2	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1902496060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENIYA L TAYLOR

Provider Business Mailing Address
First Line	:	11455 OXFORDSHIRE LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-2812
Country	:	US
Telephone Number	:	513-378-8955
Fax Number	:

Provider Business Practice Location Address
First Line	:	11455 OXFORDSHIRE LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-2812
Country	:	US
Telephone Number	:	513-378-8955
Fax Number	:	513-889-4336

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2021
Last Update Date	:	07/21/2025

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