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Individual

MRS. KIRSTEN LENORE BABCOCK

Active
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Individual

MRS. KIRSTEN LENORE BABCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50-002983
OH
363A00000X
Physician Assistant
Primary
PA1861
KY
363AS0400X
Surgical Physician Assistant
Primary
50-002983
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000634209
ANTHEM
OH
01
9061447
AETNA
OH
Enumeration date
08/20/2009
Last updated
06/25/2026
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