Provider Demographics
NPI:1942072111
Name:KINGSEED, PAMELA SUE
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:SUE
Last Name:KINGSEED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 142
Mailing Address - Street 2:
Mailing Address - City:MC CUTCHENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44844-0142
Mailing Address - Country:US
Mailing Address - Phone:419-618-9266
Mailing Address - Fax:
Practice Address - Street 1:4255 W COUNTY ROAD 58
Practice Address - Street 2:
Practice Address - City:MC CUTCHENVILLE
Practice Address - State:OH
Practice Address - Zip Code:44844-9623
Practice Address - Country:US
Practice Address - Phone:419-618-9266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker