Healthcare Provider Details

I. General information

NPI: 1538827647
Provider Name (Legal Business Name): KAITLYN BILSING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2021
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 W PAYNE AVE
GALION OH
44833-1620
US

IV. Provider business mailing address

428 W PAYNE AVE
GALION OH
44833-1620
US

V. Phone/Fax

Practice location:
  • Phone: 419-545-3621
  • Fax:
Mailing address:
  • Phone: 419-545-3621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN.528374
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: