Healthcare Provider Details

I. General information

NPI: 1699659912
Provider Name (Legal Business Name): DOLLY MARIE KINSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 S BODMER AVE
STRASBURG OH
44680-1159
US

IV. Provider business mailing address

169 NEIGHBOR ST
NEWCOMERSTOWN OH
43832-1046
US

V. Phone/Fax

Practice location:
  • Phone: 330-987-5086
  • Fax:
Mailing address:
  • Phone: 330-407-3330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: