NPI 1104280676

Kionna Perry

Practitioner Nurse's Aide Philadelphia, PA

Practice location

Address: 3900 Ford Rd 104e, Philadelphia, PA 19131-2039
Phone: (215) 921-6624
Fax: (215) 921-6715
Mailing address: 3979 Lankenau Ave APT 1, Philadelphia, PA 19131-2808

Registered specialties (5)

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 28383601 (PA)

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Chore Provider

Nursing Service Related Providers Taxonomy 372500000X Licence 28383601 (PA)

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X Licence 28383601 (PA)

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X Licence 28383601 (PA)

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X Licence 28383601 (PA)

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Registry record

NPI: 1104280676
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2016
Record last updated: 11 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.