Healthcare Provider Details

I. General information

NPI: 1063348993
Provider Name (Legal Business Name): KIANA RHEM CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28454 168TH AVE SE UNIT 10
KENT WA
98042-9404
US

IV. Provider business mailing address

28454 168TH AVE SE UNIT 10
KENT WA
98042-9404
US

V. Phone/Fax

Practice location:
  • Phone: 253-766-0177
  • Fax:
Mailing address:
  • Phone: 253-766-0177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: