Gibowicz, Kelly Lynn

Gibowicz, Kelly Lynn is an sole proprietor health care provider with primary practice located at 655 Meadowbrook Ave Se , Warren OH 44484-4553. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gibowicz, Kelly Lynn can be contacted via phone (330) 369-1508.

Contact Information

Primary practice address
655 Meadowbrook Ave Se Warren OH 44484-4553
Phone: (330) 369-1508
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN-095464 IV Ohio

Profile Details

NPI number 1861603995
LBN Legal business name Gibowicz, Kelly Lynn
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Jul 9th, 2007 - about 17 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 1861603995 NPPES
Ohio MEDICAID 2149151

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