Individual
KIMBERLY DERINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
334 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3464
(859) 578-3400
(859) 957-0055
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 578-3400
(859) 957-0055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35089758
OH
207R00000X
Internal Medicine Physician
Primary
44810
KY
208000000X
Pediatrics Physician
35089758
OH
208000000X
Pediatrics Physician
44810
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2789737
—
OH
05
—
7100135990
—
KY
01
—
P01022689
RAILROAD MEDICARE
KY
Enumeration date
05/25/2007
Last updated
04/12/2024
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