Kimberly Kile, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703108446 Issued in MI

Practice address

508 Shattuck Rd
Saginaw, MI 48604

Phone

(989) 752-7867

Fax

(989) 752-6830

NPI assigned

Jan 3, 2014

Last updated

Jan 3, 2014By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Victory Clinical Services IV, LLC

  • Methadone Clinic
  • Saginaw, MI
  • NPI 1922249440
  NPD (past)

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1346661774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48604",
            "telephone_number": "989-752-7867",
            "fax_number": "989-752-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48604",
            "telephone_number": "989-752-7867",
            "fax_number": "989-752-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILE",
        "first_name": "KIMBERLY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703108446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley Elizabeth Kibbee
• Lisa Anne Kieb, PA-C
• Courtney Kiel
• Raylee Rose Kiessel
• Kathryn Kietzman
• Erika Danielle Killam, FNP-C
• Marisa Killey
• Jun Hwan Kim, MD
• Ryan Johan Kim, M.D.
• Tiffany Kim, M.D.

• Licensed Practical Nurse in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.