Provider Demographics
NPI:1851041867
Name:BEYLAND, KIRSTIN (RN)
Entity Type:Individual
Prefix:MRS
First Name:KIRSTIN
Middle Name:
Last Name:BEYLAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8160 LONGCREEK DR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-2109
Mailing Address - Country:US
Mailing Address - Phone:906-396-6597
Mailing Address - Fax:
Practice Address - Street 1:8160 LONGCREEK DR
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45458-2109
Practice Address - Country:US
Practice Address - Phone:906-396-6597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH430868163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health