Provider Demographics
NPI:1891177341
Name:KINWORTHY, ANN TURNER (CNP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:TURNER
Last Name:KINWORTHY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:MINTON
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:410 W 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1240
Mailing Address - Country:US
Mailing Address - Phone:513-675-4494
Mailing Address - Fax:
Practice Address - Street 1:10506 MONTGOMERY RD STE 301A
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-4400
Practice Address - Country:US
Practice Address - Phone:513-246-2400
Practice Address - Fax:513-246-4050
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.17671-NP363L00000X
OHCNP.17671363LG0600X
OHAPRNCNP17671363LA2200X
OHRN.399204163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0462231Medicaid
OH0144216Medicaid
OH2565399Medicaid