Provider Demographics
NPI:1073870507
Name:SWAIN, KIMBERLY (CNA)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:SWAIN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10096 DAYCREST DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4878
Mailing Address - Country:US
Mailing Address - Phone:513-807-3378
Mailing Address - Fax:
Practice Address - Street 1:10096 DAYCREST DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45246-4878
Practice Address - Country:US
Practice Address - Phone:513-807-3378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-22
Last Update Date:2012-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant