Individual
KIMBERLEY EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
25501 CHAGRIN BLVD, BEACHWOOD, OH 44122-5603
(216) 545-4800
Mailing address
2341 DANBURY LN, HUDSON, OH 44236-1414
(330) 297-0811
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN274240
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312061
ANTHEM PROVIDER NUMBER
OH
05
—
2466246
—
OH
01
—
H062513
MEDICARE
OH
Enumeration date
01/02/2007
Last updated
02/22/2023
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