Provider Demographics
NPI:1477384527
Name:THOMPSON-GANT, KHRISTINA OKEYVEA
Entity type:Individual
Prefix:MRS
First Name:KHRISTINA
Middle Name:OKEYVEA
Last Name:THOMPSON-GANT
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 1:9514 HADDINGTON CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-2363
Mailing Address - Country:US
Mailing Address - Phone:513-510-6793
Mailing Address - Fax:
Practice Address - Street 1:9514 HADDINGTON CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-2363
Practice Address - Country:US
Practice Address - Phone:513-510-6793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child