Individual
KIMBERLY C SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
225 ELYRIA ST, LODI, OH 44254
(330) 948-9939
(330) 948-2263
Mailing address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-5533
(330) 948-2726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-008209
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003849910
LODI COMMUNITY CARE CENTER TYPE 2 NPI #
OH
01
—
1801807870
LODI HOSPITAL TYPE 2 NPI #
OH
01
—
2396081
LODI HOSPITAL MEDICAID #
OH
05
—
2504909
—
OH
01
—
3613031
LODI HOSPITAL MEDICARE #
OH
Enumeration date
01/19/2006
Last updated
06/15/2018
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