Individual
DIANE JENNIFER KIELMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1103 VILLAGE SQUARE DR, STE 100, PERRYSBURG, OH 43551-1783
(419) 872-3213
(419) 872-9549
Mailing address
1103 VILLAGE SQUARE DR, STE 100, PERRYSBURG, OH 43551-1783
(419) 872-3213
(419) 872-9549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.17792
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143094
—
OH
01
—
H415720
MEDICARE
OH
Enumeration date
07/31/2015
Last updated
10/12/2024
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