Provider Demographics
NPI:1467845347
Name:KINYANJUI, RUTH (LPN)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:KINYANJUI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6458 FAIRCREST RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2002
Mailing Address - Country:US
Mailing Address - Phone:614-804-1758
Mailing Address - Fax:
Practice Address - Street 1:6458 FAIRCREST RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2002
Practice Address - Country:US
Practice Address - Phone:614-804-1758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.157723- M- IV3140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric