Provider Demographics
NPI:1962794248
Name:ZEMANEK, KELLY ANN (LPN)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:ANN
Last Name:ZEMANEK
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6131 CREEKHAVEN DR
Mailing Address - Street 2:APT.#8
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-9213
Mailing Address - Country:US
Mailing Address - Phone:440-842-5861
Mailing Address - Fax:
Practice Address - Street 1:6131 CREEKHAVEN DR
Practice Address - Street 2:APT.#8
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-9213
Practice Address - Country:US
Practice Address - Phone:440-842-5861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH137037164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse