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KENNDAL SOTO AGACNP-BC NPI 1093317133


NPI Information

NPI: 1093317133
Provider Name: KENNDAL SOTO, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC

PECOS Registration: Yes

Address:
2940 N MCCORD RD
TOLEDO, OH
ZIP 43615
Phone: (419) 842-3000
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Kenndal Soto, AGACNP-BC is an acute care nurse practitioner in Toledo, OH with 3 years of experience. Kenndal Soto, AGACNP-BC NPI is 1093317133. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2021

The provider's business location address is:

2940 N MCCORD RD
TOLEDO, OH
ZIP 43615
Phone: (419) 842-3000
Fax: (419) 291-9883

The NPI 1093317133 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/13/2020 and was last updated on 3/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner4704299368MICHIGANNo
2363L00000XNurse PractitionerAPRN.CNP.0028440OHIONo
3363LA2100XNurse PractitionerAcute CareAPRN.CNP.0028440OHIOYes
4363LA2100XNurse PractitionerAcute Care4704299368MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.