Provider Demographics
NPI:1598453714
Name:LINDA KIMBLE RN MSN CNP HEALTH EDUCATOR/CONSULTANT,LLC
Entity Type:Organization
Organization Name:LINDA KIMBLE RN MSN CNP HEALTH EDUCATOR/CONSULTANT,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN CNP
Authorized Official - Phone:234-410-3008
Mailing Address - Street 1:4336 ORCHARDVIEW DR SE
Mailing Address - Street 2:
Mailing Address - City:EAST CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44730-9513
Mailing Address - Country:US
Mailing Address - Phone:234-410-3008
Mailing Address - Fax:234-410-3008
Practice Address - Street 1:4336 ORCHARDVIEW DR SE
Practice Address - Street 2:
Practice Address - City:EAST CANTON
Practice Address - State:OH
Practice Address - Zip Code:44730-9513
Practice Address - Country:US
Practice Address - Phone:234-410-3008
Practice Address - Fax:234-410-3008
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LINDA KIMBLE RN MSN CNP HEALTH EDUCATOR/CONSULTANT,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health