Provider Demographics
NPI:1548144876
Name:TRAIL, KENESHA LATOYA
Entity type:Individual
Prefix:
First Name:KENESHA
Middle Name:LATOYA
Last Name:TRAIL
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 1:4 CHERRY DRIVE LN
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-9073
Mailing Address - Country:US
Mailing Address - Phone:312-816-5294
Mailing Address - Fax:
Practice Address - Street 1:4 CHERRY DRIVE LN
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-9073
Practice Address - Country:US
Practice Address - Phone:312-816-5294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7580374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide