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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619913738 | NPPES |
| Ohio | MEDICAID | 2313375 |
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