Individual
EBONY KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11427 REED HARTMAN HWY, BLUE ASH, OH 45241-2418
(513) 374-9523
Mailing address
11427 REED HARTMAN HWY, BLUE ASH, OH 45241-2418
(513) 374-9523
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.186152
OH
171400000X
Health & Wellness Coach
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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