Kimberly Ann Forsythe, LVN
Individual provider Active NPI Licensed Vocational Nurse · Cottonwood, CA
NPI 1134655871 · NPPES record last updated May 1, 2017
Key facts
- NPI
- 1134655871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 231264 (CA)
- Practice address
- 22442 Venzke Rd
Cottonwood, CA 96022-9770 - Phone
- (714) 926-8947
- NPI assigned
- May 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231264 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 231264 | CA | Yes |
Addresses
Primary practice location
22442 Venzke Rd
Cottonwood, CA 96022-9770
Mailing address
22442 Venzke Rd
Cottonwood, CA 96022-9770
Phone (714) 926-8947
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- Kandice Gregg
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- Donna Holscher
- Naomi Nicole Hunt
All providers in Cottonwood, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.