Individual
ALISHA E KINNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11470 COUNTY ROAD 1, CHESAPEAKE, OH 45619-7010
(740) 451-0074
Mailing address
11470 COUNTY ROAD 1, CHESAPEAKE, OH 45619-7010
(740) 451-0074
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378240
—
OH
Enumeration date
10/31/2022
Last updated
10/31/2022
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