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Individual
KIMBERLEY DAWN JODREY
Active
Individual
KIMBERLEY DAWN JODREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.14613
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.14613-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086090
—
OH
05
—
7100339380
—
KY
Enumeration date
06/19/2013
Last updated
04/08/2026
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