Provider Demographics
NPI:1487388211
Name:ZIEMBA, KAITLYN E
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:E
Last Name:ZIEMBA
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 1:5981 COVENTRY CROSS LN
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7388
Mailing Address - Country:US
Mailing Address - Phone:440-752-2568
Mailing Address - Fax:
Practice Address - Street 1:3917 POPLAR BEND DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-5024
Practice Address - Country:US
Practice Address - Phone:614-272-1352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-16
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide