KIMMY RENEA BRECKENRIDGE LPN
NPI 1366080830
Licensed Vocational Nurse in Lawton, OK

Active since December 16, 2019
5304 SW TYLER AVE, LAWTON, OK 73505(580) 351-8520 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Vocational Nurse

About KIMMY BRECKENRIDGE

This page provides the complete NPI Profile along with additional information for Kimmy Breckenridge, a provider established in Lawton, Oklahoma with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1366080830 assigned on December 2019. The practitioner's primary taxonomy code is 164X00000X with license number 70881 (OK). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1366080830 Verify this NPI
Provider Name
KIMMY RENEA BRECKENRIDGE LPN
Gender
Female
Entity Type
Individual
Location Address
5304 SW TYLER AVE LAWTON, OK 73505
Location Phone
(580) 351-8520
Mailing Address
5304 SW TYLER AVE LAWTON, OK 73505
Mailing Phone
(580) 351-8520
Is Sole Proprietor?
No
Enumeration Date
12-16-2019
Last Update Date
12-16-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Vocational Nurse

Taxonomy Code
164X00000X
Type
Nursing Service Providers
License No.
70881
License State
OK
Taxonomy Description
A licensed vocational nurse 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366080830, enumerated as an "individual" on December 16, 2019.

The provider is located at 5304 SW TYLER AVE LAWTON, OK 73505 and the phone number is (580) 351-8520.

Licensed Vocational Nurse with taxonomy code 164X00000X.