Provider Demographics
NPI:1518539402
Name:PRASNAL, DAVID KENNETH
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:KENNETH
Last Name:PRASNAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5110 HERRINGBONE DR APT 327
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-2790
Mailing Address - Country:US
Mailing Address - Phone:330-605-0473
Mailing Address - Fax:
Practice Address - Street 1:5110 HERRINGBONE DR APT 327
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-2790
Practice Address - Country:US
Practice Address - Phone:330-605-0473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH419633163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse