Provider Demographics
NPI:1053908871
Name:KINFORD, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:KINFORD
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 1:2764 HAINES RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:OH
Mailing Address - Zip Code:44057-2428
Mailing Address - Country:US
Mailing Address - Phone:440-221-7000
Mailing Address - Fax:
Practice Address - Street 1:2764 HAINES RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057-2428
Practice Address - Country:US
Practice Address - Phone:440-221-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker