Individual
DEBRA KINNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1154 SYCAMORE CIR, GREENFIELD, OH 45123-1381
(937) 876-9026
Mailing address
1154 SYCAMORE CIR, GREENFIELD, OH 45123-1381
(937) 876-9026
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3602140
OH
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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