MS. KIMBERLY JEAN DETLEF (L.P.N) – Licensed Practical Nurse, NPI 1225004328
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2011-10-20. Reason: Conviction of program-related crimes (mandatory; min. 5 years).
Licensed Practical Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. KIMBERLY JEAN DETLEF (L.P.N)
624, Berry Street, East Toledo, Toledo, Lucas County, Ohio, 43605, United States
TOLEDO, OH 436052621
Phone: (419) 810-7796
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43605)
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