1740189323 NPI number — KAYLEIGH MARIE VINGLE

Table of content: KAYLEIGH MARIE VINGLE (NPI 1740189323)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740189323 NPI number — KAYLEIGH MARIE VINGLE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VINGLE
Provider First Name:
KAYLEIGH
Provider Middle Name:
MARIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HUCK
Provider Other First Name:
KAYLEIGH
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1740189323
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/02/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1415 WINDEL WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YOUNGSTOWN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44512-3757
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-506-3717
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6505 MARKET ST
Provider Second Line Business Practice Location Address:
LEONARD J. FISHER FAMILY, BUILDING - BUILDING A
Provider Business Practice Location Address City Name:
BOARDMAN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44512-3457
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-543-3276
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/02/2026

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APRN.CNP.0043823 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)