Kelly D Floyd
Individual provider Active NPI Home Health Aide · Lowellville, OH
NPI 1740869742 · NPPES record last updated Apr 6, 2021
Key facts
- NPI
- 1740869742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 810 W Wood St Apt 408
Lowellville, OH 44436-1068 - Phone
- (234) 232-1750
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
810 W Wood St Apt 408
Lowellville, OH 44436-1068
Mailing address
6053 Applecrest CT Apt 32
Youngstown, OH 44512-3163
Phone (330) 518-2896
Other providers in Lowellville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.