Most Relevant Information
Provider Data
| NPI Number: | 1003649112 |
| Provider Name: | KIESHA LOCKETT |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/23/2024 |
| Last Updated: | 08/28/2024 |
Provider Practice Location
20 KURTZ AVE
DAYTON
OH
454052716
Practice Location Phone/Fax
| Phone: | 9372481600 |
| Fax: |
Provider Mailing Location
20 KURTZ AVE
DAYTON
OH
454052716
Provider Mailing Phone/Fax
| Phone: | 3264675744 |
| Fax: |