Lee, Kimberly

Lee, Kimberly is an individual health care provider with primary practice located at 324 Wilmington Ave , Dayton OH 45420-1890. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lee, Kimberly can be contacted via phone (937) 256-4490.

Contact Information

Primary practice address
324 Wilmington Ave Dayton OH 45420-1890
Phone: (937) 256-4490
Fax: (937) 258-5478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP 08489 Ohio

Profile Details

NPI number 1821121203
LBN Legal business name Lee, Kimberly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Dec 9th, 2013 - about 11 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 1821121203 NPPES
Ohio MEDICAID 2642680

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