Provider Demographics
NPI:1487946901
Name:POE, DARIN L (LPN)
Entity type:Individual
Prefix:MR
First Name:DARIN
Middle Name:L
Last Name:POE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72699 8TH STREET RD
Mailing Address - Street 2:
Mailing Address - City:KIMBOLTON
Mailing Address - State:OH
Mailing Address - Zip Code:43749-9573
Mailing Address - Country:US
Mailing Address - Phone:740-498-6022
Mailing Address - Fax:
Practice Address - Street 1:72699 8TH STREET RD
Practice Address - Street 2:
Practice Address - City:KIMBOLTON
Practice Address - State:OH
Practice Address - Zip Code:43749-9573
Practice Address - Country:US
Practice Address - Phone:740-498-6022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 116044164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse