Provider Demographics
NPI:1346088416
Name:PRICE, KASAHONNA MARKEIA
Entity type:Individual
Prefix:
First Name:KASAHONNA
Middle Name:MARKEIA
Last Name:PRICE
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 1:212 WATSON ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-3522
Mailing Address - Country:US
Mailing Address - Phone:330-503-3046
Mailing Address - Fax:
Practice Address - Street 1:212 WATSON ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-3522
Practice Address - Country:US
Practice Address - Phone:330-503-3046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH602573390323374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide