Individual
MRS. LORETTA ANNETTE KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 N MAIN ST, LAKEVIEW, OH 43331-9463
(937) 638-9723
Mailing address
129 N MAIN ST, LAKEVIEW, OH 43331-9463
(937) 638-9723
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437876265
—
OH
Enumeration date
10/24/2022
Last updated
12/09/2022
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