MEDICARE: KORI T BELL

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	374U00000X	Home Health Aide
2	376K00000X	Nurse's Aide
3	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1053017269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KORI T BELL

Provider Business Mailing Address
First Line	:	803 E TROTWOOD BLVD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45426-3121
Country	:	US
Telephone Number	:	470-521-0639
Fax Number	:

Provider Business Practice Location Address
First Line	:	803 E TROTWOOD BLVD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45426-3121
Country	:	US
Telephone Number	:	470-521-0639
Fax Number	:

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

Provider Enumeration Date	:	01/31/2023
Last Update Date	:	01/31/2023

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Directions to “ KORI T BELL ” Practice Location

Language	Start Address	Practice Location

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