Individual
IVY MKAHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 WISTERIA DR APT 1G, FORDS, NJ 08863-1106
(615) 574-4089
Mailing address
12 WISTERIA DR APT 1G, FORDS, NJ 08863-1106
(615) 574-4089
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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