MEDICARE: KAMILIA SIBLEY

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1033849922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMILIA SIBLEY

Provider Business Mailing Address
First Line	:	11263 TEMPLETON DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-4556
Country	:	US
Telephone Number	:	513-462-6151
Fax Number	:

Provider Business Practice Location Address
First Line	:	11263 TEMPLETON DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-4556
Country	:	US
Telephone Number	:	513-462-6151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2022
Last Update Date	:	06/14/2022

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Directions to “ KAMILIA SIBLEY ” Practice Location

Language	Start Address	Practice Location

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