Bacon, Kyndra

Bacon, Kyndra is an individual health care provider with primary practice located at 6034 Red Oak Dr , Toledo OH 43615-1855. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bacon, Kyndra can be contacted via phone (419) 936-0226.

Contact Information

Primary practice address
6034 Red Oak Dr Toledo OH 43615-1855
Phone: (419) 936-0226
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN.152287.MED-IV Ohio

Profile Details

NPI number 1245715010
LBN Legal business name Bacon, Kyndra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2018
Last updated Sep 27th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245715010 NPPES
Ohio MEDICAID LPN.152287.MED-IV

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