Kenneth H Koerper
Licensed Practical Nurse • Pedro, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenneth Koerper has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kenneth Koerper was a registered Licensed Practical Nurse practicing in Pedro, OH. Throughout an active medical career spanning 2 years, Kenneth Koerper provided care at the practice location at 115 PRIVATE ROAD 977 until profile deactivation on 2019-07-26.
Practice Location & Contact Primary Location
115 Private Road 977
Pedro, OH 456598608
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Pedro, OH
Practicing in Pedro, OH (13034 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Case Manager/Care Coordinator
Licensed Practical Nurse
Licensed Practical Nurse
Registered Nurse
Registered Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Registered Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 26, 2019
NPI status registered as active in NPPES database
Registered at 115 PRIVATE ROAD 977, PEDRO, OH 456598608 (Tel: (740) 534-1386)
Registered at 115 PRIVATE ROAD 977, PEDRO, OH 456598608 (Tel: 7405341386)
Recorded as KENNETH KOERPER
Licensed Practical Nurse (License #1113598 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
115 Private Road 977
Pedro, OH 456598608
Phone: 7405341386
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