Individual
KIMBERLY LYNN KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 ROBIN PARK BLVD, OBERLIN, OH 44074-1440
(440) 775-7775
Mailing address
18 ROBIN PARK BLVD, OBERLIN, OH 44074-1440
(440) 775-7775
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN255251
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2546516
—
OH
Enumeration date
05/22/2007
Last updated
07/08/2007
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