Provider Demographics
NPI:1992013288
Name:WEEKS, SHARMAN KATHLEEN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SHARMAN
Middle Name:KATHLEEN
Last Name:WEEKS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:SHARMAN
Other - Middle Name:KATHLEEN
Other - Last Name:HELZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6672 TOWNSHIP ROAD 55
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-9442
Mailing Address - Country:US
Mailing Address - Phone:937-592-5501
Mailing Address - Fax:
Practice Address - Street 1:6672 TOWNSHIP ROAD 55
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-9442
Practice Address - Country:US
Practice Address - Phone:937-592-5501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 114311-MEDSO164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse