Provider Demographics
NPI:1790594778
Name:HUTCHINGS, T'KEYAH (LPN)
Entity type:Individual
Prefix:
First Name:T'KEYAH
Middle Name:
Last Name:HUTCHINGS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2746 LAFEUILLE AVE # 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-7648
Mailing Address - Country:US
Mailing Address - Phone:513-680-3684
Mailing Address - Fax:
Practice Address - Street 1:2746 LAFEUILLE AVE # 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-7648
Practice Address - Country:US
Practice Address - Phone:513-680-3684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.169244.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse