Individual provider · Type 1 NPI

Kimberly Renee Gullatt

Licensed Practical Nurse · Willoughby, OH

NPI number 1144046145 Active

Practice location

38599 Fairway Glenn Blvd
Willoughby, OH 44094-7180

Call (216) 409-7045 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
Licensed Practical Nurse Primary 164W00000XLPN.168.104-IV (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1144046145

Kimberly Renee Gullatt's National Provider Identifier is 1144046145, issued on Nov 25, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Willoughby, OH. The record was last updated on Nov 25, 2024.