Individual
KIMBERLY ANN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(513) 484-8047
Mailing address
7033 HEARTHSIDE CT, LIBERTY TWP, OH 45011-6593
(513) 484-8047
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.021536
OH
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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