Healthcare Provider Details

I. General information

NPI: 1164912101
Provider Name (Legal Business Name): KEHINDE AKINDELE-STEWART RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2018
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8290 CHESSWOOD DR
CINCINNATI OH
45239-3830
US

IV. Provider business mailing address

8290 CHESSWOOD DR
CINCINNATI OH
45239-3830
US

V. Phone/Fax

Practice location:
  • Phone: 513-399-1717
  • Fax:
Mailing address:
  • Phone: 513-399-1717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN.303646
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: