Provider Demographics
NPI:1790470128
Name:GILKISON, KIRSTIE ERIN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:KIRSTIE
Middle Name:ERIN
Last Name:GILKISON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:KIRSTIE
Other - Middle Name:ERIN
Other - Last Name:HORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:749 C SATE ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150
Mailing Address - Country:US
Mailing Address - Phone:513-214-2094
Mailing Address - Fax:
Practice Address - Street 1:6000 MARSH CIR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-9268
Practice Address - Country:US
Practice Address - Phone:513-344-0853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.177162164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse