Healthcare Provider Details

I. General information

NPI: 1427911130
Provider Name (Legal Business Name): KAIA NAJJA KHAMISI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6039 YOSEMITE DR
CINCINNATI OH
45237-4943
US

IV. Provider business mailing address

6039 YOSEMITE DR
CINCINNATI OH
45237-4943
US

V. Phone/Fax

Practice location:
  • Phone: 513-612-0333
  • Fax: 513-612-0333
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: