MEDICARE: LILY MARIE KERBEL EMT PARAMEDIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146L00000X	Paramedic	155241	OH

General Provider Information

NPI Number	:	1871437905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILY MARIE KERBEL EMT PARAMEDIC

Provider Business Mailing Address
First Line	:	5517 COUNTY ROAD 15
Second Line	:
City	:	MARENGO
State	:	OH
Zip	:	43334-9614
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 HOME RD
Second Line	:
City	:	MOUNT GILEAD
State	:	OH
Zip	:	43338-9806
Country	:	US
Telephone Number	:	419-947-1151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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