Provider Demographics
NPI:1124663844
Name:KILLINGS, SHAWNNA RENEE (STNA)
Entity type:Individual
Prefix:
First Name:SHAWNNA
Middle Name:RENEE
Last Name:KILLINGS
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 DALY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4636
Mailing Address - Country:US
Mailing Address - Phone:513-264-2900
Mailing Address - Fax:
Practice Address - Street 1:9001 DALY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4636
Practice Address - Country:US
Practice Address - Phone:513-264-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide