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NPI Code Detail

MEDICARE: KEISHA GRIFFIN

MEDICARE:   KEISHA  GRIFFIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1013286681
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEISHA GRIFFIN
Provider Business Mailing Address
First Line : 3406 CLEVELAND CT APT 13
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2762
Country : US
Telephone Number : 513-378-5357
Fax Number :
Provider Business Practice Location Address
First Line : 3406 CLEVELAND CT APT 13
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2762
Country : US
Telephone Number : 513-378-5357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2011
Last Update Date : 12/27/2011

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Directions to “ KEISHA GRIFFIN ” Practice Location

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