Provider Demographics
NPI:1558602995
Name:KBYII, ABETA ELAMII (RN)
Entity Type:Individual
Prefix:MRS
First Name:ABETA
Middle Name:ELAMII
Last Name:KBYII
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1128 MILLHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1752
Mailing Address - Country:US
Mailing Address - Phone:330-741-9708
Mailing Address - Fax:
Practice Address - Street 1:1128 MILLHAVEN DR
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1752
Practice Address - Country:US
Practice Address - Phone:330-741-9708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH524926163W00000X
347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No163W00000XNursing Service ProvidersRegistered Nurse