KIMBERLY RENEE GULLATT NPI 1144046145

NPI Information

  • NPI: 1144046145
  • Provider Name: KIMBERLY RENEE GULLATT
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 38599 FAIRWAY GLENN BLVD
    WILLOUGHBY, OH
    ZIP 44094
  • Phone: (216) 409-7045

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NPI Details

Kimberly Renee Gullatt is a licensed practical nurse in Willoughby, OH. The provider is 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. Kimberly Renee Gullatt NPI is 1144046145. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

38599 FAIRWAY GLENN BLVD
WILLOUGHBY, OH
ZIP 44094-180
Phone: (216) 409-7045

The enumeration date for this NPI number is 11/25/2024 and was last updated on 11/25/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthNo
2164W00000XLicensed Practical NurseLPN.168.104-IVOHIOYes

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: 3/30/2025

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