Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Renee Gullatt

Individual provider Home Health Agency · NPI 1144046145

Kimberly Renee Gullatt is a Home Health Agency in Willoughby, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

38599 Fairway Glenn Blvd
Willoughby, OH 44094-7180
Phone: (216) 409-7045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN.168.104-IV (OH)
Home Health Agency Taxonomy 251E00000X

Record details

NPI number1144046145
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing address38599 Fairway Glenn Blvd, Willoughby, OH 44094-7180

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