Individual
MS. KARLA KAY IMBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7655 FIVE MILE ROAD, SUITE 117, CINCINNATI, OH 45230
(513) 624-7525
(513) 624-0578
Mailing address
20 MEDICAL VILLAGE DRIVE, SUITE 258, EDGEWOOD, KY 41017
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.001491
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000611444
ANTHEM
—
01
—
352199392
HEALTHNET
—
Enumeration date
08/08/2007
Last updated
04/28/2009
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