Provider Demographics
NPI:1740965862
Name:NDIOUR, KHADY
Entity type:Individual
Prefix:
First Name:KHADY
Middle Name:
Last Name:NDIOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KHADY
Other - Middle Name:
Other - Last Name:NDIOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10277 CHIPPENHAM CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-1823
Mailing Address - Country:US
Mailing Address - Phone:513-693-2191
Mailing Address - Fax:
Practice Address - Street 1:10277 CHIPPENHAM CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1823
Practice Address - Country:US
Practice Address - Phone:513-693-2191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-16
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH602430150422376K00000X
OH06162023892312376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide