Individual
DANA A KIMBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
407 W 7TH ST, DOVER, OH 44622-2813
(330) 432-5750
Mailing address
407 W 7TH ST, DOVER, OH 44622-2813
(330) 432-5750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
024661
OH
207Q00000X
Family Medicine Physician
LE-00026665
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024661
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207Q00000X
—
OH
Enumeration date
02/20/2019
Last updated
06/08/2023
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