Kimberly Jean Detlef in Toledo - Licensed Practical Nurse
Kimberly Jean Detlef - NPI 1225004328
Kimberly Jean Detlef is a Licensed Practical Nurse in Toledo, Ohio. Kimberly Jean Detlef practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Kimberly Jean Detlef is 1225004328. The last update date is 2008-02-29.
Kimberly Jean Detlef's current location address is 624 Berry St, Toledo, Ohio. You can contact this provider via phone number 4198107796. The mailing address for Kimberly Jean Detlef is 624 Berry St, Toledo, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Jean Detlef |
|---|---|
| Address | 624 Berry St, Toledo, Ohio |
| Phone Number | 4198107796 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.P.N |
NPI Number Detail
| NPI Number | 1225004328 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2008-02-29 |
Provider Mailing Address Detail
| Address | 624 Berry St |
|---|---|
| City | Toledo |
| State | Ohio (OH) |
| Post Code | 436052621 |
| Phone Number | 4198107796 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN 086382 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique identifier code issued to Kimberly Jean Detlef by the Centers for Medicare & Medicaid Services (CMS)?
The Kimberly Jean Detlef has been assigned the NPI (National Provider Identifier) 1225004328. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kimberly Jean Detlef located?
The Kimberly Jean Detlef is located at 624 Berry St, Toledo, OH 436052621.
What is the area of specialization for Kimberly Jean Detlef, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kimberly Jean Detlef is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1225004328 to Kimberly Jean Detlef?
The Kimberly Jean Detlef received its 1225004328 assignment from the Centers for Medicare & Medicaid Services on 2006-02-27.
When was the information pertaining to Kimberly Jean Detlef most recently updated or revised?
The details related to Kimberly Jean Detlef, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-29.