Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miracle Kennon

Individual provider Home Health Aide · NPI 1417403163

Miracle Kennon is a Home Health Aide in Los Angeles, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

711 W 54th St
Los Angeles, CA 90037-3723
Phone: (323) 593-1035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X · Licence D8116361 (CA)

Record details

NPI number1417403163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2016
Last updated in NPPESAugust 31, 2016

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