Individual
KENNETH E LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4208 FORSYTHIA DR, CINCINNATI, OH 45245-1608
(513) 313-8837
Mailing address
4208 FORSYTHIA DR, CINCINNATI, OH 45245-1608
(513) 313-8837
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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