KIMBERLY MCCOLLUM - NPI 1689118036 - Licensed Practical Nurse in Massillon, OH

Q: What is Kimberly Mccollum's NPI number?

The NPI number for Kimberly Mccollum is 1689118036. It was assigned to this individual provider in the NPPES registry on December 5, 2016.

Q: What is Kimberly Mccollum's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Mccollum was last updated on June 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kimberly Mccollum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY MCCOLLUM (NPI 1689118036) is an individual licensed practical nurse in Massillon, Ohio, licensed in Ohio (LPN.140469.MEDS-IV) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1689118036

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKIMBERLY MCCOLLUM

Location Address3545 LINCOLN WAY E STE BMassillon, OH 44646-8624

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (833) 510-4357

Phone(833) 510-4357

Sole ProprietorNo

Enumeration DateDecember 5, 2016

Last NPPES UpdateJune 22, 2023

NPPES CertifiedJune 22, 2023

✔ NPI 1689118036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · LPN.140469.MEDS-IV

Definition

A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3545 LINCOLN WAY E STE B, Massillon, OH 44646

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