Vandegrift, Kimberly A.

Vandegrift, Kimberly A. is an individual health care provider with primary practice located at 1101 Portage St Nw , North Canton OH 44720-2353. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Vandegrift, Kimberly A. can be contacted via phone (330) 417-3283.

Contact Information

Primary practice address
1101 Portage St Nw North Canton OH 44720-2353
Phone: (330) 417-3283
Fax: (509) 351-9739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X RN-243460 Ohio

Profile Details

NPI number 1619913738
LBN Legal business name Vandegrift, Kimberly A.
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 9th, 2007 - about 18 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 1619913738 NPPES
Ohio MEDICAID 2313375

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