Provider Demographics
NPI:1023831724
Name:ADKINS, KIMBERLY F (HOME HEALTH AIDE)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:F
Last Name:ADKINS
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15419 STATE ROUTE 125
Mailing Address - Street 2:
Mailing Address - City:WEST UNION
Mailing Address - State:OH
Mailing Address - Zip Code:45693-9794
Mailing Address - Country:US
Mailing Address - Phone:937-779-2440
Mailing Address - Fax:
Practice Address - Street 1:15419 STATE ROUTE 125
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:OH
Practice Address - Zip Code:45693-9794
Practice Address - Country:US
Practice Address - Phone:937-779-2440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH501145380706374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide