Provider Demographics
NPI:1306711643
Name:EILAND, KANANI CASSY
Entity type:Individual
Prefix:
First Name:KANANI
Middle Name:CASSY
Last Name:EILAND
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 1:4925 BRADSTONE LOOP
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8203
Mailing Address - Country:US
Mailing Address - Phone:614-378-7669
Mailing Address - Fax:
Practice Address - Street 1:4925 BRADSTONE LOOP
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8203
Practice Address - Country:US
Practice Address - Phone:614-378-7669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider