Provider Demographics
NPI:1801690649
Name:WILKINS, CHANTAY REVON (STNA/ FIRST AID)
Entity type:Individual
Prefix:
First Name:CHANTAY
Middle Name:REVON
Last Name:WILKINS
Suffix:
Gender:F
Credentials:STNA/ FIRST AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 ELM ST STE 270
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-2781
Mailing Address - Country:US
Mailing Address - Phone:513-692-6313
Mailing Address - Fax:
Practice Address - Street 1:311 ELM ST STE 270
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-2781
Practice Address - Country:US
Practice Address - Phone:513-692-6313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator