Provider Demographics
NPI:1689335424
Name:RAYFORD, KESHAUNA (RPT)
Entity Type:Individual
Prefix:
First Name:KESHAUNA
Middle Name:
Last Name:RAYFORD
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24496
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-0496
Mailing Address - Country:US
Mailing Address - Phone:513-910-4121
Mailing Address - Fax:
Practice Address - Street 1:1172 W GALBRAITH RD STE 110
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-5643
Practice Address - Country:US
Practice Address - Phone:513-202-3410
Practice Address - Fax:513-541-2198
Is Sole Proprietor?:No
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy