Healthcare Provider Details

I. General information

NPI: 1235882630
Provider Name (Legal Business Name): KEYONNA HUTCHINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 NORTHLAND BLVD STE 212
CINCINNATI OH
45246-3653
US

IV. Provider business mailing address

270 NORTHLAND BLVD CINCINNATI, OHIO 45246
CINCINNATI OH
45246-1421
US

V. Phone/Fax

Practice location:
  • Phone: 513-672-1640
  • Fax:
Mailing address:
  • Phone: 513-672-1640
  • Fax: 513-351-1780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: