Daniele Marie Kilian, LPN

Individual provider Active NPI Licensed Practical Nurse · Englewood, TN

NPI 1740760883 · NPPES record last updated Aug 17, 2018

Key facts

NPI
1740760883
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN85310 (TN)
Practice address
3360 Highway 411 N
Englewood, TN 37329-5276
Phone
(423) 887-5131
Fax
(423) 887-5917
NPI assigned
Aug 17, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN85310TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN85310 TN Yes

Addresses

Primary practice location

3360 Highway 411 N
Englewood, TN 37329-5276

Mailing address

6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605
Phone (800) 355-3565

Other names

  • Daniele Marie West Former name

Other providers in Englewood, TN

All providers in Englewood, TN · Licensed Practical Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.