Provider Demographics
NPI:1780468330
Name:SCHILLING, KRISTIN DEANNE (LPN)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:DEANNE
Last Name:SCHILLING
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 1:12162 DERBY CT
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8604
Mailing Address - Country:US
Mailing Address - Phone:614-558-5292
Mailing Address - Fax:
Practice Address - Street 1:12135 LANCASTER ST
Practice Address - Street 2:
Practice Address - City:MILLERSPORT
Practice Address - State:OH
Practice Address - Zip Code:43046-8063
Practice Address - Country:US
Practice Address - Phone:740-467-3533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.15808.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse