Provider Demographics
NPI:1942927967
Name:TURNER, KENDALIN MIGNON (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:
First Name:KENDALIN
Middle Name:MIGNON
Last Name:TURNER
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:KENDALIN
Other - Middle Name:MIGNON
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HOME HEALTH AIDE
Mailing Address - Street 1:2624 5TH ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-4520
Mailing Address - Country:US
Mailing Address - Phone:330-834-8748
Mailing Address - Fax:
Practice Address - Street 1:2624 5TH ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-4520
Practice Address - Country:US
Practice Address - Phone:330-834-8748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty