Individual
KIMBERLY DANIELLE ARIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3617
(859) 572-2366
Mailing address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3617
(859) 572-2366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1170
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100156450
—
KY
Enumeration date
11/12/2008
Last updated
10/03/2023
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