Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRACLE KENNON
ActiveMIRACLE KENNON is a Home Health Aide healthcare provider located in LOS ANGELES, California. NPI 1417403163 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · LOS ANGELES, CA
Registration Details
- NPI Number
- 1417403163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2016 (9.9437006128525 yrs)
- Last Updated
- Aug 31, 2016
- License
-
D8116361 (CA)
Practice Information
- Address
-
711 W 54TH STLOS ANGELES, CA, 900373723Browse CA providers · Browse ZIP 90037
- Phone
- 3235931035
- Primary Specialty
-
Home Health Aide
374U00000X
Other Home Health Aide Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MARIA GUADALUPE MARTINEZ-GARCIA | CNA. HHA | 1508995168 |
| MS. SHEILA RENEE MITCHELL | — | 1639385255 |
| PAULINE MURRAY | — | 1346413895 |
| MARLO RICHARDSON | — | 1578978771 |
| MR. WALTER L BROWN | — | 1760871784 |
| KELLY HADNOTT-BROWN | — | 1174034037 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.