Walters, Kisha Marie
Walters, Kisha Marie is an sole proprietor health care provider with primary practice located at 3710 State Route 529 , Cardington OH 43315-9377. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Walters, Kisha Marie can be contacted via phone (614) 374-2433.Contact Information
Primary practice address
3710 State Route 529
Cardington OH 43315-9377
Phone: (614) 374-2433
Fax: (419) 947-9597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN 114985 | Ohio |
Profile Details
| NPI number | 1700910064 |
|---|---|
| LBN Legal business name | Walters, Kisha Marie |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 8th, 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 | 1700910064 | NPPES |
| Ohio | MEDICAID | 2536741 |
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