Individual
MRS. KIRSTEN LENORE BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 E BUSINESS WAY, SUITE A, CINCINNATI, OH 45241-2374
(513) 354-3700
(513) 354-7651
Mailing address
6480 HARRISON AVE, SUITE 201, CINCINNATI, OH 45247-7961
(513) 354-7785
(513) 354-7651
Taxonomy
Speciality
Code
Description
License number
State
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
09/15/2015
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