Candy J Kishman, LPN WCC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN084362-IV Issued in OH

Practice address

7210 Joppa Rd
Huron, OH 44839-9576

Phone

(440) 967-4578

NPI assigned

Jun 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154523066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 JOPPA RD",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448399576",
            "telephone_number": "440-967-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 JOPPA RD",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448399576",
            "telephone_number": "440-967-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHMAN",
        "first_name": "CANDY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LPN WCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN084362-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J H Marty Ryu DDS, Inc. (Huron Family Dental Center)
• Michele Javorek, PCC
• Patricia R Johnson
• Kari Michelle Ketvertis, MD
• Cory R Kirksey, L.P.N.
• Michael P Kisil, DDS
• Kaycee Knapp
• Denna Koser
• Brandon Paul Krueger, DC
• Matthew George Laws

• Licensed Practical Nurse in Huron, OH
• Providers in Huron, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.