Provider Demographics
NPI:1770234635
Name:STRIPLING, KENNITRA
Entity Type:Individual
Prefix:
First Name:KENNITRA
Middle Name:
Last Name:STRIPLING
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 1:2014 BLUE BELL DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2859
Mailing Address - Country:US
Mailing Address - Phone:513-680-6515
Mailing Address - Fax:
Practice Address - Street 1:4342 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-3389
Practice Address - Country:US
Practice Address - Phone:513-574-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator