Provider Demographics
NPI:1538968359
Name:SHEETS, KAYTLYNN NICOLE (CPR, FIRST AID)
Entity type:Individual
Prefix:MS
First Name:KAYTLYNN
Middle Name:NICOLE
Last Name:SHEETS
Suffix:
Gender:F
Credentials:CPR, FIRST AID
Other - Prefix:MS
Other - First Name:KAYTLYNN
Other - Middle Name:NICOLE
Other - Last Name:SHEETS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPR, FIRST AID
Mailing Address - Street 1:53225 CLARY RD
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:OH
Mailing Address - Zip Code:45647-8913
Mailing Address - Country:US
Mailing Address - Phone:740-637-5271
Mailing Address - Fax:
Practice Address - Street 1:53225 CLARY RD
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:OH
Practice Address - Zip Code:45647-8913
Practice Address - Country:US
Practice Address - Phone:740-637-5271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHVG032932172A00000X, 376J00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172A00000XOther Service ProvidersDriver
No376J00000XNursing Service Related ProvidersHomemaker