Provider Demographics
NPI:1760191522
Name:RINKER, KIRSTEN NICOLE
Entity Type:Individual
Prefix:MRS
First Name:KIRSTEN
Middle Name:NICOLE
Last Name:RINKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5103 TOWNSHIP ROAD 186 SW
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43748-9752
Mailing Address - Country:US
Mailing Address - Phone:614-565-0936
Mailing Address - Fax:
Practice Address - Street 1:5103 TOWNSHIP ROAD 186 SW
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:OH
Practice Address - Zip Code:43748-9752
Practice Address - Country:US
Practice Address - Phone:614-565-0936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH02035215Medicaid