Kitchen, Stacey R.

Kitchen, Stacey R. is an sole proprietor health care provider with primary practice located at 1175 Township Road 1996 , Ashland OH 44805-9271. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Kitchen, Stacey R. can be contacted via phone (419) 557-8904.

Contact Information

Primary practice address
1175 Township Road 1996 Ashland OH 44805-9271
Phone: (419) 557-8904
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.150552 Ohio

Profile Details

NPI number 1053436790
LBN Legal business name Kitchen, Stacey R.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Oct 19th, 2012 - about 12 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 1053436790 NPPES
Ohio MEDICAID 2551055

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