Individual
MRS. KIMBERLY CAROL COGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 METRO PL N STE 300, DUBLIN, OH 43017-5320
(855) 289-1722
Mailing address
2851 MAPLE AVE NE, CANTON, OH 44714-1757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.425833
OH
164W00000X
Licensed Practical Nurse
PN131191
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
05/24/2011
Last updated
01/08/2025
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