Provider Demographics
NPI:1386441525
Name:HINKLE, KERI ELLEN
Entity type:Individual
Prefix:
First Name:KERI
Middle Name:ELLEN
Last Name:HINKLE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1146 BEECHRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-1072
Mailing Address - Country:US
Mailing Address - Phone:513-535-4065
Mailing Address - Fax:
Practice Address - Street 1:1146 BEECHRIDGE CT
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-1072
Practice Address - Country:US
Practice Address - Phone:513-535-4065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician