Kenya D Dothard
Individual provider Active NPI Home Health Agency · Struthers, OH
NPI 1801414263 · NPPES record last updated Jul 16, 2020
Key facts
- NPI
- 1801414263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 3926 Riley Ave
Struthers, OH 44471-1828 - Phone
- (330) 881-7742
- NPI assigned
- Jul 10, 2020
- 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 Agency | 251E00000X | Yes |
Addresses
Primary practice location
3926 Riley Ave
Struthers, OH 44471-1828
Mailing address
3926 Riley Ave
Struthers, OH 44471-1828
Phone (330) 881-7742
Other providers in Struthers, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2020. 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.