Provider Demographics
NPI:1902473382
Name:KEYER, GINNY A
Entity Type:Individual
Prefix:
First Name:GINNY
Middle Name:A
Last Name:KEYER
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 1:399 ACKERMAN PL
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-2413
Mailing Address - Country:US
Mailing Address - Phone:937-372-3142
Mailing Address - Fax:
Practice Address - Street 1:399 ACKERMAN PL
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-2413
Practice Address - Country:US
Practice Address - Phone:937-372-3142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-05
Last Update Date:2021-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide