NPI 1376304295 · live from the CMS NPI Registry
Kiyoro Terrie Addison
Home Health Aide in Port Wentworth, GA. National Provider Identifier 1376304295, active.
NPI record
| NPI | 1376304295 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Home Health Aide 374U00000X |
| Practice location | 6 Heritage Rd, Port Wentworth, GA 31407 |
| Practice phone | 912-308-8238 |
| Enumerated | January 18, 2024 |
| Last updated | January 18, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide primary | 374U00000X | — (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.