Diltz, Kimberly S

Diltz, Kimberly S is an individual health care provider with primary practice located at 3130 N County Road 25A Ste 103, Troy OH 45373-1337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Diltz, Kimberly S can be contacted via phone (937) 773-0428.

Contact Information

Primary practice address
3130 N County Road 25A Ste 103 Troy OH 45373-1337
Phone: (937) 773-0428
Fax: (937) 773-0439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X NS04904 Ohio

Profile Details

NPI number 1255463048
LBN Legal business name Diltz, Kimberly S
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Nov 18th, 2013 - about 12 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 1255463048 NPPES
Ohio Other 311176809028 CARESOURCE
Ohio MEDICAID 2494877 CARESOURCE

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