Provider Demographics
NPI:1609290238
Name:FALKE, KRISTIN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:
Last Name:FALKE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 PERRY RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:OH
Mailing Address - Zip Code:44047-9761
Mailing Address - Country:US
Mailing Address - Phone:440-576-3281
Mailing Address - Fax:
Practice Address - Street 1:1032 PERRY RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:44047-9761
Practice Address - Country:US
Practice Address - Phone:440-576-3281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.141533-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse