Provider Demographics
NPI:1528639440
Name:KINSER, RAINA LASHELLE
Entity type:Individual
Prefix:
First Name:RAINA
Middle Name:LASHELLE
Last Name:KINSER
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 1:42 BRUCE ST
Mailing Address - Street 2:
Mailing Address - City:LOVELY
Mailing Address - State:KY
Mailing Address - Zip Code:41231-9011
Mailing Address - Country:US
Mailing Address - Phone:606-264-0829
Mailing Address - Fax:
Practice Address - Street 1:42 BRUCE ST
Practice Address - Street 2:
Practice Address - City:LOVELY
Practice Address - State:KY
Practice Address - Zip Code:41231-9011
Practice Address - Country:US
Practice Address - Phone:606-264-0829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant