Provider Demographics
NPI:1558101220
Name:BIERMAN, KAITLIN M
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:M
Last Name:BIERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:478 BICKSLER DR
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-1216
Mailing Address - Country:US
Mailing Address - Phone:234-716-3802
Mailing Address - Fax:
Practice Address - Street 1:478 BICKSLER DR
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-1216
Practice Address - Country:US
Practice Address - Phone:234-716-3802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker