Provider Demographics
NPI:1801696539
Name:AHN, TRACY J
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:J
Last Name:AHN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-2425
Mailing Address - Country:US
Mailing Address - Phone:513-537-9714
Mailing Address - Fax:
Practice Address - Street 1:421 ANDERSON ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-2425
Practice Address - Country:US
Practice Address - Phone:513-537-9714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant