Individual
SANDRA L KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
415 BYERS RD, SUITE 300, MIAMISBURG, OH 45342
(937) 866-2494
(937) 866-8494
Mailing address
415 BYERS RD STE 300, MIAMISBURG, OH 45342-3684
(937) 866-2494
(937) 866-8494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP07739
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.07739
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2504927
—
OH
Enumeration date
07/13/2005
Last updated
08/27/2024
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