Individual
KIMBERLEE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 S CENTRAL AVE, COLUMBUS, OH 43223-1301
(614) 274-9500
Mailing address
3750 CHRISTIE RD E, COLUMBUS, OH 43207-4164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.303120
OH
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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