Provider Demographics
NPI:1427526136
Name:FUTRELL, KALEAH
Entity type:Individual
Prefix:
First Name:KALEAH
Middle Name:
Last Name:FUTRELL
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 1:2810 LAWNDALE AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-1956
Mailing Address - Country:US
Mailing Address - Phone:513-388-6157
Mailing Address - Fax:
Practice Address - Street 1:2810 LAWNDALE AVE APT 3
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-1956
Practice Address - Country:US
Practice Address - Phone:513-388-6157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-12
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide