William Leon Kirksey, LPN
Individual provider Active NPI Licensed Practical Nurse · Shaker HTS, OH
NPI 1891937009 · NPPES record last updated Apr 2, 2009
Key facts
- NPI
- 1891937009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN122633 (OH)
- Practice address
- 2575 Kemper Rd
Apt a-2
Shaker HTS, OH 44120-1276 - Phone
- (216) 324-0614
- NPI assigned
- Apr 2, 2009
- Sex
- Male
- 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 |
|---|---|---|---|
| PN122633 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN122633 | OH | Yes |
Addresses
Primary practice location
2575 Kemper Rd
Apt a-2
Shaker HTS, OH 44120-1276
Mailing address
2575 Kemper Rd
Apt a-2
Shaker HTS, OH 44120-1276
Phone (216) 324-0614
Other providers in Shaker HTS, OH
- Sharda R. Johnson
- Melissa Johnston
- Maiya Elahi Jones
- Amanda Kalkbrenner
- Debbie Kardamis
- Kenneth Richard Koles
- Raisa Konstantinovsky
- Mira Kramarovsky
- Nicole Lamonica
- Yaakov Lapciuc
All providers in Shaker HTS, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2009. 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.