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NPI Code Detail

MEDICARE: KHIEJANA CORINA SIMS

MEDICARE: KHIEJANA CORINA SIMS
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
11041C0700XClinical Social WorkerI.2405848OH

General Provider Information

NPI Number : 1376037192
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHIEJANA CORINA SIMS
Provider Business Mailing Address
First Line : 1276 OTTAWA AVE
Second Line :
City : AKRON
State : OH
Zip : 44305-2720
Country : US
Telephone Number : 330-990-0518
Fax Number :
Provider Business Practice Location Address
First Line : 1756 SAGAMORE RD
Second Line :
City : NORTHFIELD
State : OH
Zip : 44067-1086
Country : US
Telephone Number : 330-467-7131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2018
Last Update Date : 04/27/2026

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Directions to “ KHIEJANA CORINA SIMS ” Practice Location

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