Individual
KEISHA LARELL HIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1775 E 227TH ST, EUCLID, OH 44117-2005
(216) 481-2149
Mailing address
1775 E 227TH ST, EUCLID, OH 44117-2005
(216) 481-2149
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN 281311
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2192989
—
OH
Enumeration date
03/20/2007
Last updated
07/09/2007
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