Healthcare Provider Details

I. General information

NPI: 1053222034
Provider Name (Legal Business Name): CINDY JEAN KIMPEL REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14736 SCOTT RD
BRYAN OH
43506-9624
US

IV. Provider business mailing address

14736 SCOTT RD
BRYAN OH
43506-9624
US

V. Phone/Fax

Practice location:
  • Phone: 419-783-7163
  • Fax:
Mailing address:
  • Phone: 419-783-7163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License NumberRN162881
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: