Provider Demographics
NPI:1881218444
Name:RAMIREZ HERNANDEZ, KENIA
Entity type:Individual
Prefix:
First Name:KENIA
Middle Name:
Last Name:RAMIREZ HERNANDEZ
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 1:29206 45TH PL S
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-2814
Mailing Address - Country:US
Mailing Address - Phone:253-347-8505
Mailing Address - Fax:
Practice Address - Street 1:29206 45TH PL S
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-2814
Practice Address - Country:US
Practice Address - Phone:253-347-8505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical