Provider Demographics
NPI:1376182220
Name:HALL, DIAMOND KENEE (QMHS, MSW)
Entity Type:Individual
Prefix:
First Name:DIAMOND
Middle Name:KENEE
Last Name:HALL
Suffix:
Gender:F
Credentials:QMHS, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3266 ROCKER DR APT 9
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-4146
Mailing Address - Country:US
Mailing Address - Phone:513-258-7134
Mailing Address - Fax:
Practice Address - Street 1:3266 ROCKER DR APT 9
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-4146
Practice Address - Country:US
Practice Address - Phone:513-258-7134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-24
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No174400000XOther Service ProvidersSpecialist