# KIMBERLY TROXEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629278544
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | COA.09474-NP | OH | — |
| 363LP0200X | Pediatric Nurse Practitioner | COA.09474-NP | OH | — |
| 363LP2300X | Primary Care Nurse Practitioner | 300607 | KY | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 10/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 610661458 | TAX ID | KY |