Baltzell, Kimberly

Baltzell, Kimberly is an sole proprietor health care provider with primary practice located at 30 E Apple St Ste 5254A, Dayton OH 45409-2939. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Baltzell, Kimberly can be contacted via phone (937) 208-4200.

Contact Information

Primary practice address
30 E Apple St Ste 5254A Dayton OH 45409-2939
Phone: (937) 208-4200
Fax: (937) 208-4205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X COA.14740-NS Ohio
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X COA.14740-NS Ohio

Profile Details

NPI number 1609200625
LBN Legal business name Baltzell, Kimberly
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2013
Last updated Mar 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609200625 NPPES
Ohio MEDICAID 0091249

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