Kierston Dawn Gladden
In Home Supportive Care in Lakeview, OH. Individual provider (NPI-1).
NPI number1558069161
StatusActive
Last updated in NPPESFeb 22, 2023
Details
- NPI
- 1558069161
- Entity type
- Individual (NPI-1)
- Name
- Kierston Dawn Gladden
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2023
- Certification date
- Feb 22, 2023
- Last updated
- Feb 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
325 Hull StLakeview, OH 43331-9470
Phone 419-860-2095
Mailing address
325 Hull StLakeview, OH 43331-9470
Phone 419-860-2095
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