Kevin McCormick

Individual provider Active NPI Personal Care Attendant · Huron, OH

NPI 1568213767 · NPPES record last updated Mar 27, 2024

Key facts

NPI
1568213767
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
210 Rye Beach Rd
Huron, OH 44839-1163
Phone
(419) 504-9970
NPI assigned
Mar 27, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

210 Rye Beach Rd
Huron, OH 44839-1163

Mailing address

210 Rye Beach Rd
Huron, OH 44839-1163
Phone (419) 504-9970

Other providers in Huron, OH

All providers in Huron, OH · Personal Care Attendant in Ohio

Sources for this page

Verify at the official NPI Registry.