Provider Demographics
NPI:1326252297
Name:KINYANJUI, KATHY L
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:L
Last Name:KINYANJUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 RED LEAF LN
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-6822
Mailing Address - Country:US
Mailing Address - Phone:317-887-1672
Mailing Address - Fax:317-887-1672
Practice Address - Street 1:711 RED LEAF LN
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-6822
Practice Address - Country:US
Practice Address - Phone:317-887-1672
Practice Address - Fax:317-887-1672
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care