Individual
KIMBERLY J NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 585-5502
(513) 585-5511
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1129872
KY
163W00000X
Registered Nurse
RN.341478
OH
367500000X
Certified Registered Nurse Anesthetist
APRN11012122
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.14207-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078865
—
OH
05
—
201136340
—
IN
05
—
7100231270
—
KY
Enumeration date
09/13/2012
Last updated
06/17/2024
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