Kelly J Kanzeg

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

098645 Issued in OH

Practice address

319 Township Road 581
Sullivan, OH 44880-9767

Phone

(330) 421-6844

NPI assigned

Sep 6, 2007

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1265627889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 TOWNSHIP ROAD 581",
            "city": "SULLIVAN",
            "state": "OH",
            "postal_code": "448809767",
            "telephone_number": "330-421-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 TOWNSHIP ROAD 581",
            "city": "SULLIVAN",
            "state": "OH",
            "postal_code": "448809767",
            "telephone_number": "330-421-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANZEG",
        "first_name": "KELLY",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "098645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Dreher, LPN
• Kristina Fetterman
• Rachel Dee Fredericy
• Lea Halblaub
• Jonathon Walker Hartman, AT
• Annaclaire Lackney
• Sheila Diane Lawson
• Gerald Linden, LPN
• Emma Ranee Lindenberger
• Paula N Lower, LPN

• All providers in Sullivan, OH
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.