Provider Demographics
NPI:1255043055
Name:TRAPP, KEYLA
Entity type:Individual
Prefix:
First Name:KEYLA
Middle Name:
Last Name:TRAPP
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 1:12030 LAWNVIEW AVE APT 11
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3028
Mailing Address - Country:US
Mailing Address - Phone:513-319-4531
Mailing Address - Fax:513-761-1245
Practice Address - Street 1:12030 LAWNVIEW AVE APT 11
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3028
Practice Address - Country:US
Practice Address - Phone:513-319-4531
Practice Address - Fax:513-761-1245
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-23
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
347C00000X, 3747P1801X, 376J00000X, 385HR2060X, 385H00000X, 172A00000X, 253Z00000X
OH253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No347C00000XTransportation ServicesPrivate Vehicle
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No172A00000XOther Service ProvidersDriver
No253Z00000XAgenciesIn Home Supportive Care