Provider Demographics
NPI:1952661811
Name:KLINGENSMITH, BRITTANY LYNN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:LYNN
Last Name:KLINGENSMITH
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 1:9320 ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:MINERVA
Mailing Address - State:OH
Mailing Address - Zip Code:44657-9440
Mailing Address - Country:US
Mailing Address - Phone:330-581-8665
Mailing Address - Fax:
Practice Address - Street 1:9320 ROCHESTER RD
Practice Address - Street 2:APT/SUITE
Practice Address - City:MINERVA
Practice Address - State:OH
Practice Address - Zip Code:44657-9440
Practice Address - Country:US
Practice Address - Phone:330-581-8665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHP.N. 144781164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse