Provider Demographics
NPI:1528661287
Name:KYNARD, DARLENE ELENA
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:ELENA
Last Name:KYNARD
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 1:432 BRODYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-4590
Mailing Address - Country:US
Mailing Address - Phone:614-778-2167
Mailing Address - Fax:888-228-7479
Practice Address - Street 1:550 FERNWOOD AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-8028
Practice Address - Country:US
Practice Address - Phone:614-778-2167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty