Provider Demographics
NPI:1538894308
Name:MARSHALL, KAHNILIA M
Entity type:Individual
Prefix:
First Name:KAHNILIA
Middle Name:M
Last Name:MARSHALL
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 1:1702 MARTHA AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45223-1579
Mailing Address - Country:US
Mailing Address - Phone:513-502-0692
Mailing Address - Fax:
Practice Address - Street 1:6981 APRIL DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-5438
Practice Address - Country:US
Practice Address - Phone:513-557-6477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH40027908083376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH40027908083OtherOHIO NURSE AIDE REGISTRY