Brocklehurst, Kimberly Lee
Brocklehurst, Kimberly Lee is an individual health care provider with primary practice located at 2195 Allentown Rd , Lima OH 45805-1705. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Brocklehurst, Kimberly Lee can be contacted via phone (419) 227-2245.Contact Information
Primary practice address
2195 Allentown Rd
Lima OH 45805-1705
Phone: (419) 227-2245
Fax: (419) 229-1573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Emergency | 163WE0003X | 313177 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ARRN.CNP.024119 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | APRN.CNP.024119 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.024119 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN.CNP.024119 | Ohio |
Profile Details
| NPI number | 1649748310 |
|---|---|
| LBN Legal business name | Brocklehurst, Kimberly Lee |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2018 |
| Last updated | Jul 18th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649748310 | NPPES |
| Ohio | Other | 3131777 | REGISTEREC NURSE |
| Ohio | Other | APRN.CNP.024119 | REGISTEREC NURSE |
| Ohio | Other | APRN.CNP.024119 | REGISTEREC NURSE |
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