Provider Demographics
NPI:1326830704
Name:KINCHEN, ADAZIA DIANE AUBRE
Entity type:Individual
Prefix:
First Name:ADAZIA
Middle Name:DIANE AUBRE
Last Name:KINCHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ADAZIA
Other - Middle Name:DIANE AUBRE
Other - Last Name:KINCHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2114 LARIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-1422
Mailing Address - Country:US
Mailing Address - Phone:402-612-1536
Mailing Address - Fax:
Practice Address - Street 1:2114 LARIMORE AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-1422
Practice Address - Country:US
Practice Address - Phone:402-612-1536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion