Ketchum, Kimberly Ann
Ketchum, Kimberly Ann is an sole proprietor health care provider with primary practice located at 7502 Tamkrist Trl , Conneaut OH 44030-3193. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Ketchum, Kimberly Ann can be contacted via phone (440) 224-2863.Contact Information
Primary practice address
7502 Tamkrist Trl
Conneaut OH 44030-3193
Phone: (440) 224-2863
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | RN259417 | Ohio |
Profile Details
| NPI number | 1598988156 |
|---|---|
| LBN Legal business name | Ketchum, Kimberly Ann |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Apr 1st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598988156 | NPPES |
| Ohio | MEDICAID | 2206311 |
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