Provider Demographics
NPI:1053120840
Name:MCFARLAND, KEIONNA JONTUE
Entity type:Individual
Prefix:
First Name:KEIONNA
Middle Name:JONTUE
Last Name:MCFARLAND
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:PO BOX 41
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-0041
Mailing Address - Country:US
Mailing Address - Phone:419-388-1543
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 41
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-0041
Practice Address - Country:US
Practice Address - Phone:419-388-1543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company