Provider Demographics
NPI:1912517038
Name:KEBBIE, ZAINAB M
Entity Type:Individual
Prefix:
First Name:ZAINAB
Middle Name:M
Last Name:KEBBIE
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 1:4283 APPIAN WAY W
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1454
Mailing Address - Country:US
Mailing Address - Phone:646-671-0245
Mailing Address - Fax:
Practice Address - Street 1:4283 APPIAN WAY W
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-1454
Practice Address - Country:US
Practice Address - Phone:646-671-0245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide