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Individual
KIMBERLY LEE BROCKLEHURST
Active
Individual
KIMBERLY LEE BROCKLEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
313177
OH
208000000X
Pediatrics Physician
APRN.CNP.024119
OH
208000000X
Pediatrics Physician
ARRN.CNP.024119
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024119
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3131777
REGISTEREC NURSE
OH
01
—
APRN.CNP.024119
CERTIFIED NURSE PRACTITIONER
OH
Enumeration date
11/11/2018
Last updated
10/12/2024
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